Lexington Terrace Alf, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL8418 Issued in FL

Legal business name

LEXINGTON TERRACE ALF, LLC

Doing business as

Lexington Terrace

Practice address

6340 46TH Ave N
Kenneth City, FL 33709-3104

Phone

(727) 547-9566

Fax

(727) 547-2601

NPI assigned

Jun 22, 2007

Last updated

Mar 4, 2008By 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. William Mando

Title

Cfo

Phone

(813) 635-9500

Specialties & licenses 1

Addresses

Other names 1

• LEXINGTON TERRACE Doing business as

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1891991311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6340 46TH AVE N",
            "city": "KENNETH CITY",
            "state": "FL",
            "postal_code": "337093104",
            "telephone_number": "727-547-9566",
            "fax_number": "727-547-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6340 46TH AVE N",
            "city": "KENNETH CITY",
            "state": "FL",
            "postal_code": "337093104",
            "telephone_number": "727-547-9566",
            "fax_number": "727-547-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON TERRACE ALF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "MANDO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "813-635-9500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEXINGTON TERRACE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Marie Krouse, PTA
• Kristy Ann Lake, MPT
• Mary Lee
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• Lexington Healthcare and Rehabilitation Center LLC
• LK Therapeutic Services LLC
• Lisa Anne Lucius, MA
• Jonathan Byron May, DPM
• McAre Health LLC (Mcare Pharmacy)
• Gabriel McIntyre, PHARMD

• Assisted Living Facility in Kenneth City, FL
• Providers in Kenneth City, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.