Provider Demographics
NPI:1407572316
Name:LEXICARE COMMUNITY CONNECTIONS LLC
Entity Type:Organization
Organization Name:LEXICARE COMMUNITY CONNECTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED CONTACT
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:GYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-755-0690
Mailing Address - Street 1:5 WILBUR DR
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19608-9827
Mailing Address - Country:US
Mailing Address - Phone:610-743-3180
Mailing Address - Fax:
Practice Address - Street 1:515 OLD SWEDE RD
Practice Address - Street 2:
Practice Address - City:DOUGLASSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19518-1208
Practice Address - Country:US
Practice Address - Phone:484-755-0690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-13
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health