MEDICARE: LEX HOME HEALTH CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1063902039
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEX HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	7777 LEESBURG PIKE STE 408N
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22043-2415
Country	:	US
Telephone Number	:	703-988-2042
Fax Number	:	703-995-4353

Provider Business Practice Location Address
First Line	:	7777 LEESBURG PIKE STE 408N
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22043-2415
Country	:	US
Telephone Number	:	703-988-2042
Fax Number	:	703-995-4353

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	LEYLA HOSH
Credential	:
Telephone Number	:	703-988-2042

Provider Enumeration Date	:	05/15/2018
Last Update Date	:	10/29/2021

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Directions to “LEX HOME HEALTH CARE LLC ” Practice Location

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