=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952100224
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LX ESTATESLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/10/2025
-----------------------------------------------------
Last Update Date | 01/22/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 805 OUTLAW AVE
-----------------------------------------------------
City | SILSBEE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77656-5601
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 409-338-5947
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 805 OUTLAW AVE
-----------------------------------------------------
City | SILSBEE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77656-5601
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 409-338-5947
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OPERATIONS SUPERVISOR
-----------------------------------------------------
Name | MS. LEXIE DELORUS THOMAS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 409-338-5947
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------