Provider Demographics
NPI:1023431905
Name:LEXINGTON PLACE HEALTHCARE AND REHABILITATION,LLC
Entity type:Organization
Organization Name:LEXINGTON PLACE HEALTHCARE AND REHABILITATION,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:L
Authorized Official - Last Name:PARSONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-530-3837
Mailing Address - Street 1:2911 BROWNS LN
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-7204
Mailing Address - Country:US
Mailing Address - Phone:870-935-8330
Mailing Address - Fax:
Practice Address - Street 1:1052 HARRISON ST STE 6
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72032-4277
Practice Address - Country:US
Practice Address - Phone:501-499-6651
Practice Address - Fax:501-224-4598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-28
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR045321Medicare Oscar/Certification