Healthcare Provider Details

I. General information

NPI: 1225159072
Provider Name (Legal Business Name): LEXICON CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 09/30/2024
Certification Date: 09/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 GENEVA STREET
AURORA CO
80010-4305
US

IV. Provider business mailing address

500 GENEVA STREET
AURORA CO
80010-4305
US

V. Phone/Fax

Practice location:
  • Phone: 303-364-9311
  • Fax: 303-367-4639
Mailing address:
  • Phone: 303-987-3088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number020407
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number0876
License Number StateCO

VIII. Authorized Official

Name: MARY KORETKE
Title or Position: DIRECTOR OF REIMBURSEMENT
Credential:
Phone: 303-987-3088