=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093703381
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LEXHEALTH, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/11/2005
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 100 E 9TH AVE
-----------------------------------------------------
City | LEXINGTON
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27292-3100
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 336-248-8212
-----------------------------------------------------
Fax | 336-248-6576
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 100 E 9TH AVE P. O. BOX 1624
-----------------------------------------------------
City | LEXINGTON
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27292-3100
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 336-248-8212
-----------------------------------------------------
Fax | 336-248-6576
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | INTERIM DIRECTOR/CFO
-----------------------------------------------------
Name | MRS. ANDREA S ALLMER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 336-248-8212
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | HC0521
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | HC2396
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------