Provider Demographics
NPI:1558857508
Name:LEXINGTON OPERATIONS, LLC
Entity Type:Organization
Organization Name:LEXINGTON OPERATIONS, LLC
Other - Org Name:AVAMERE AT LEXINGTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARALEGAL
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:OLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-783-2490
Mailing Address - Street 1:1811 RIDGEWAY DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NE
Mailing Address - Zip Code:68850-1188
Mailing Address - Country:US
Mailing Address - Phone:308-324-5490
Mailing Address - Fax:308-324-5181
Practice Address - Street 1:1811 RIDGEWAY DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NE
Practice Address - Zip Code:68850-1188
Practice Address - Country:US
Practice Address - Phone:308-324-5490
Practice Address - Fax:308-324-5181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-02
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEALF125310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility