Lexington Health Care Center of Lombard Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0028860 Issued in IL

Legal business name

LEXINGTON HEALTH CARE CENTER OF LOMBARD INC

Practice address

2100 S Finley Rd
Lombard, IL 60148-4830

Phone

(630) 495-4000

Fax

(630) 495-2809

NPI assigned

Sep 8, 2005

Last updated

Sep 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Samatas

Title

President

Phone

(630) 458-4700

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1083608822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 W NORTH AVE",
            "address_2": "STE 500",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601481134",
            "telephone_number": "630-458-4700",
            "fax_number": "630-458-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 S FINLEY RD",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484830",
            "telephone_number": "630-495-4000",
            "fax_number": "630-495-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON HEALTH CARE CENTER OF LOMBARD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "SAMATAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-458-4700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IL",
            "license": "0028860",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0028860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deatrice Marie Lewellyan
• Christine Lewis
• Colette Lewis
• Jennifer Lewis
• Lexington Health Care Center
• Lexington Health Care Center of Lombard, Inc.
• Lexington Home Health Care, Inc
• Lexington Hospice Services LLC (St Croix Hospice Lombard)
• Lexington Private Care Services, Inc
• Omid A. Leylani, O.D.

• Skilled Nursing Facility in Lombard, IL
• Providers in Lombard, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.