Provider Demographics
NPI:1659833812
Name:LEXX HOMECARE AGENCY
Entity Type:Organization
Organization Name:LEXX HOMECARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KONOMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-933-7016
Mailing Address - Street 1:3787 LAMB DR
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-5921
Mailing Address - Country:US
Mailing Address - Phone:404-933-7016
Mailing Address - Fax:
Practice Address - Street 1:3787 LAMB DR
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-5921
Practice Address - Country:US
Practice Address - Phone:404-933-7016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-04
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health