Provider Demographics
NPI:1225558760
Name:LEXINGTON CARE AND REHABILITATION CENTER LLC
Entity Type:Organization
Organization Name:LEXINGTON CARE AND REHABILITATION CENTER LLC
Other - Org Name:EXCEL CENTER FOR NURSING AND REHABILITATION AT LEXINGTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHAIM
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCHEINBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-278-0987
Mailing Address - Street 1:24 ROOSEVELT AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-5654
Mailing Address - Country:US
Mailing Address - Phone:908-278-0987
Mailing Address - Fax:
Practice Address - Street 1:840 EMERSON GARDENS RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02420-2615
Practice Address - Country:US
Practice Address - Phone:781-861-8630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-26
Last Update Date:2017-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0780314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility