Organization Active NPI

Lexington Court LLC

  • Skilled Nursing Facility
  • Richmond, VA
National Provider Identifier
1033293089
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH2505 Issued in VA
Legal business name
LEXINGTON COURT LLC
Practice address
1776 Cambridge Dr
Richmond, VA 23238-3203
Phone
(804) 741-6174
Fax
(804) 740-6189
NPI assigned
Oct 25, 2006
Last updated
Sep 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Graham L Adelman
Title
President
Phone
(804) 521-0550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH2505 VA Primary

Addresses

Primary practice location

1776 Cambridge Dr
Richmond, VA 23238-3203

Mailing address

12093 Gayton Rd
Richmond, VA 23238-3401
Phone (804) 521-0550

Other identifiers 2

IdentifierTypeStateIssuer
004952723MedicaidVA
442237OtherVABLUECROSS BLUESHIELD PR#

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1033293089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12093 GAYTON RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232383401",
            "telephone_number": "804-521-0550",
            "fax_number": "804-521-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 CAMBRIDGE DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232383203",
            "telephone_number": "804-741-6174",
            "fax_number": "804-740-6189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON COURT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "ADELMAN",
        "authorized_official_first_name": "GRAHAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-521-0550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004952723",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD PR#",
            "identifier": "442237",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.