Healthcare Provider Details

I. General information

NPI: 1366432809
Provider Name (Legal Business Name): LEXINGTON HEALTH INVESTORS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2005
Last Update Date: 12/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 KENDAL DR
LEXINGTON VA
24450-1786
US

IV. Provider business mailing address

170 KENDAL DR
LEXINGTON VA
24450-1786
US

V. Phone/Fax

Practice location:
  • Phone: 540-463-1910
  • Fax: 540-464-2617
Mailing address:
  • Phone: 540-463-1910
  • Fax: 540-464-2617

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberNH2751
License Number StateVA

VIII. Authorized Official

Name: MR. STEVEN H. JEWELL
Title or Position: ADMINISTRATOR/EXECUTIVE DIRECTOR
Credential:
Phone: 540-464-2602