Active NPI
Lexington Health Care Center of Lombard, Inc.
- Parenteral & Enteral Nutrition Supplies (DME)
- Lombard, IL
National Provider Identifier
1407989197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)
- License
- 0028860
- 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
- Mar 13, 2007
- Organization subpart
- No
NPPES NPI Registry
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 0028860 | IL | Primary |
Addresses
Primary practice location
2100 S Finley Rd
Lombard, IL 60148-4830
Mailing address
665 W North Ave
Suite 500
Lombard, IL 60148-1134
Phone (630) 458-4700
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224201600000",
"number": "1407989197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "665 W NORTH AVE",
"address_2": "SUITE 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": "2007-03-13",
"last_updated": "2008-10-17",
"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": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "IL",
"license": "0028860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.