NPIMap

Organization Active NPI

Lekstra Support Residential Services LLC

  • In Home Supportive Care Agency
  • Woodbridge, VA
National Provider Identifier
1811748775
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LEKSTRA SUPPORT RESIDENTIAL SERVICES LLC
Practice address
2750 Green Ash Loop Apt 207
Woodbridge, VA 22192-4162
Phone
(240) 564-8143
NPI assigned
Mar 28, 2024
Last updated
Mar 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Fidelis MorfawNPI 1992558522
Title
Administrator
Phone
(240) 564-8143

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

2750 Green Ash Loop Apt 207
Woodbridge, VA 22192-4162

Mailing address

2750 Green Ash Loop Apt 207
Woodbridge, VA 22192-4162
Phone (240) 564-8143

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1811748775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 GREEN ASH LOOP APT 207",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924162",
            "telephone_number": "240-564-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 GREEN ASH LOOP APT 207",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924162",
            "telephone_number": "240-564-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEKSTRA SUPPORT RESIDENTIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "MORFAW",
        "authorized_official_first_name": "FIDELIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "240-564-8143"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.