Lexx Alt Galaxy LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

LEXX ALT GALAXY LLC

Practice address

1579 Meredith Dr Unit 10
Cincinnati, OH 45231-3243

Phone

(513) 375-8257

NPI assigned

Nov 29, 2023

Organization subpart

No

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

Authorized official

Name

Terrance Nicholas Jordan

Title

Chief Executive Officer

Phone

(513) 375-8257

Specialties & licenses 1

Addresses

Tax ID family

Lexx Alt Galaxy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lexx Alt Galaxy LLC

  • Foster Care Agency
  • Cincinnati, OH
  • NPI 1215703434
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Lexx Alt Galaxy LLC

  • Foster Care Agency
  • Cincinnati, OH
  • NPI 1215703434
  NPPES parent name

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1215703418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1579 MEREDITH DR UNIT 10",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452313243",
            "telephone_number": "513-375-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1579 MEREDITH DR UNIT 10",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452313243",
            "telephone_number": "513-375-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXX ALT GALAXY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "513-375-8257"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tena Lewis, LPN
• Tierra Renee Lewis, LISW
• Tracey Lewis
• Traci Y Lewis
• Zackary D Lewis
• Lexx Alt Galaxy LLC
• Daniel Ley
• Sanita Ley, PHD
• Adam Leyendecker
• Andre William Leysath

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.