Healthcare Provider Details

I. General information

NPI: 1245056993
Provider Name (Legal Business Name): LEXI'S COMPASSION CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2024
Last Update Date: 11/26/2024
Certification Date: 11/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 WILSON RD STE 101 # 1004
STOCKBRIDGE GA
30281
US

IV. Provider business mailing address

10 WILSON RD STE 101 # 1004
STOCKBRIDGE GA
30281
US

V. Phone/Fax

Practice location:
  • Phone: 515-401-3592
  • Fax: 404-891-7101
Mailing address:
  • Phone: 515-401-3592
  • Fax: 404-891-7101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: DWASHAYNE LOMAS-GEORGE
Title or Position: CEO
Credential:
Phone: 515-401-3592