Basic Information
| Provider Information | |||||||||
| NPI: | 1467187534 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | LEXCARES INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1811 RIDGEWAY DR | ||||||||
| Address2: | |||||||||
| City: | LEXINGTON | ||||||||
| State: | NE | ||||||||
| PostalCode: | 688501188 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3083783800 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1811 RIDGEWAY DR | ||||||||
| Address2: | |||||||||
| City: | LEXINGTON | ||||||||
| State: | NE | ||||||||
| PostalCode: | 688501188 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3083245490 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/21/2022 | ||||||||
| LastUpdateDate: | 07/29/2022 | ||||||||
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| AuthorizedOfficialLastName: | BARAJAS | ||||||||
| AuthorizedOfficialFirstName: | MARIA | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 3083783800 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| NPICertificationDate: | 07/29/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 310400000X | Y | Nursing & Custodial Care Facilities | Assisted Living Facility |
No ID Information.