Provider Demographics
NPI:1942236583
Name:LEXINGTON HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:LEXINGTON HOME CARE SERVICES LLC
Other - Org Name:REGIONAL HOME CARE LEXINGTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLTSFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-465-7466
Mailing Address - Street 1:185 BOSWELL ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38351-1597
Mailing Address - Country:US
Mailing Address - Phone:731-968-1860
Mailing Address - Fax:731-968-1875
Practice Address - Street 1:185 BOSWELL ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:TN
Practice Address - Zip Code:38351-1597
Practice Address - Country:US
Practice Address - Phone:731-968-1860
Practice Address - Fax:731-968-1875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000139251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
447252Medicare Oscar/Certification