LEXINGTON HEALTH CARE CENTER OF LOMBARD INC (NPI# 1083608822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083608822 |
| Entity Type | Organization |
| Organization Name | LEXINGTON HEALTH CARE CENTER OF LOMBARD INC |
| Practice Address |
2100 S Finley Rd Lombard IL 60148-4830 |
| Mailing Address |
665 W North Ave Ste 500 Lombard IL 60148-1134 |
| Practice Telephone | 6304954000 |
| Practice Fax Number | 6304952809 |
| Mailing Telephone | 6304584700 |
| Mailing Fax Number | 6304584770 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN SAMATAS (PRESIDENT) |
| Authorized Official Telephone | 6304584700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 313M00000X | Nursing Facility/Intermediate Care Facility | 0028860 | IL | Nursing & Custodial Care Facilities |
| X | 314000000X | Skilled Nursing Facility | 0028860 | IL | Nursing & Custodial Care Facilities |
| Street Address |
2100 S FINLEY RD |
| City | LOMBARD |
| State | IL |
| Zip Code | 60148-4830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790298164 | Holly Kay Garlitz | Social Worker | 2100 S Finley Rd, Lombard, IL 60148-4830 | 2017-11-08 |
| 1114473188 | Rebecca Van Landuyt | Physical Therapist | 2100 S Finley Rd, Lombard, IL 60148-4830 | 2016-08-30 |
| 1447616826 | Savita Nair | Rehabilitation Hospital | 2100 S Finley Rd, Lombard, IL 60148-4830 | 2016-01-14 |
| 1174933261 | Neha Sharma | Occupational Therapist | 2100 S Finley Rd, Lombard, IL 60148-4830 | 2014-04-29 |
| 1477972743 | Kathleen Heinz | Physical Therapy Assistant | 2100 S Finley Rd, Lombard, IL 60148-4830 | 2014-04-15 |
| 1003183419 | Christina Szczepanek | Speech-Language Pathologist | 2100 S Finley Rd, Lombard, IL 60148-4830 | 2011-11-30 |
| 1275800948 | Tracy Y Krupka | Occupational Therapy Assistant | 2100 S Finley Rd, Lombard, IL 60148-4830 | 2011-11-24 |
| 1528335262 | Teresa Kozuch | Physical Therapy Assistant | 2100 S Finley Rd, Lombard, IL 60148-4830 | 2011-11-23 |
| 1023385754 | Peggy Patricia Fornero | Physical Therapy Assistant | 2100 S Finley Rd, Lombard, IL 60148-4830 | 2011-11-23 |
| 1942577754 | Stephanie Ann Marzullo | Physical Therapist | 2100 S Finley Rd, Lombard, IL 60148-4830 | 2011-11-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336778919 | Alish Kuply | Pharmacist | 2050 S Finley Rd Suite 20, Lombard, IL 60148 | 2020-04-06 |
| 1114567880 | Danielle Slansky | Speech-Language Pathologist | 401 N. Main St, Lombard, IL 60148 | 2020-01-10 |
| 1245715572 | Ellen Mary Corey | Behavior Technician | 627 S Grace St., Lombard, IL 60148 | 2018-10-02 |
| 1194204461 | Vip 2u, Inc | Internal Medicine | 477 E Butterfield Rd Ste 400, Lombard, IL 60148 | 2018-08-08 |
| 1881185684 | Samantha Lanagan | Behavior Technician | 21 W 356 Sidney Ave, Lombard, IL 60148 | 2018-05-29 |
| 1629570114 | Iris Victoria Goss | Hearing Instrument Specialist | 412 E. Roosevelt Rd, Lombard, IL 60148 | 2018-03-01 |
| 1780102350 | Richard Wong | Dentist | 845 S. Main St #300, Lombard, IL 60148 | 2017-09-05 |
| 1033637038 | Lora Lea Biesenkamp | Counselor | 450 E 22nd St Ste 150-17, Lombard, IL 60148 | 2017-08-30 |
| 1609392836 | Shafiq Ur Rehman | Specialist/Technologist, Other | 2005 South Finley Rd Unit 1012, Lombard, IL 60148 | 2017-08-18 |
| 1033642715 | Great Lakes Living Solutions Corp. | Home Health | 477 E. Butterfield Rd., Suite Ll005, Lombard, IL 60148 | 2017-04-09 |
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| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386094068 | Icg Home Health | Nursing Facility/Intermediate Care Facility | 4508 Camden Ct, Richton Park, IL 60471-1147 | 2016-06-14 |
| 1871999078 | Midwest Health Operations LLC | Nursing Facility/Intermediate Care Facility | 3601 16th Ave, Sterling, IL 61081-4059 | 2014-11-15 |
| 1437410891 | Mado Healthcare | Nursing Facility/Intermediate Care Facility | 1541 North Wells, Chicago, IL 60610-1307 | 2012-06-01 |
| 1134405392 | Faith Community Health Services, Inc | Nursing Facility/Intermediate Care Facility | 4449 177th St, Country Club Hills, IL 60478-4705 | 2011-11-01 |
| 1215188487 | Petersen Health Care, Inc | Nursing Facility/Intermediate Care Facility | 144 Jounior Ave., Kewanee, IL 61443 | 2008-10-07 |
| 1699936054 | Pinckneyville Healthcare Center | Nursing Facility/Intermediate Care Facility | 708 Virginia Ct, Pinckneyville, IL 62274-1538 | 2008-06-18 |
| 1184894412 | Parents and Friends of The Slc-home 1 | Nursing Facility/Intermediate Care Facility | 3 Gundlach Pl, Swansea, IL 62226-4227 | 2008-03-03 |
| 1740463074 | St. Joseph's Home of Springfield | Nursing Facility/Intermediate Care Facility | 3306 S 6th Street Rd, Springfield, IL 62703-4735 | 2007-12-10 |
| 1821283573 | Royal Living Center Inc | Nursing Facility/Intermediate Care Facility | 200 South 9th Street, New Baden, IL 62265 | 2007-09-06 |
| 1235323841 | Parents and Friends of Slc | Nursing Facility/Intermediate Care Facility | 1450 Caseyville Ave, Swansea, IL 62226-4517 | 2007-08-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.