Organization Active NPI

Lexington Health Care Center of Bloomingdale, Inc.

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Bloomingdale, IL
National Provider Identifier
1477686210
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
0035188 Issued in IL
Legal business name
LEXINGTON HEALTH CARE CENTER OF BLOOMINGDALE, INC.
Practice address
165 S Bloomingdale Rd
Bloomingdale, IL 60108-1434
Phone
(630) 980-8700
Fax
(630) 980-6170
NPI assigned
Mar 13, 2007
Last updated
Oct 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 0035188 IL Primary

Addresses

Primary practice location

165 S Bloomingdale Rd
Bloomingdale, IL 60108-1434

Mailing address

665 W North Ave
Suite 500
Lombard, IL 60148-1134
Phone (630) 458-4700

National Provider Directory

National Provider Directory

NPI 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": "1477686210",
    "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": "165 S BLOOMINGDALE RD",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081434",
            "telephone_number": "630-980-8700",
            "fax_number": "630-980-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON HEALTH CARE CENTER OF BLOOMINGDALE, 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": "0035188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, 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.

Verify at the official NPI Registry.