Organization Active NPI

Lexington Health Care Center of Lagrange Inc

  • Skilled Nursing Facility
  • La Grange, IL
National Provider Identifier
1942294780
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0038083 Issued in IL
Legal business name
LEXINGTON HEALTH CARE CENTER OF LAGRANGE INC
Practice address
4735 Willow Springs Rd
La Grange, IL 60525-6130
Phone
(708) 352-6900
Fax
(708) 482-0239
NPI assigned
Sep 8, 2005
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 0038083 IL
Skilled Nursing Facility 314000000X 0038083 IL Primary

Addresses

Primary practice location

4735 Willow Springs Rd
La Grange, IL 60525-6130

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": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1942294780",
    "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": "4735 WILLOW SPRINGS RD",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256130",
            "telephone_number": "708-352-6900",
            "fax_number": "708-482-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON HEALTH CARE CENTER OF LAGRANGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2008-04-20",
        "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": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IL",
            "license": "0038083",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0038083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.