MEDICARE: LG EXCEPTIONAL CARE ENTERPRISES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	251S00000X	Community/Behavioral Health Agency
3	343900000X	Non-emergency Medical Transport (VAN)
4	251B00000X	Case Management Agency
5	253Z00000X	In Home Supportive Care Agency
6	261QD1600X	Developmental Disabilities Clinic/Center
7	261QA0600X	Adult Day Care Clinic/Center
8	251K00000X	Public Health or Welfare Agency
9	347C00000X	Private Vehicle
10	347E00000X	Transportation Broker
11	385H00000X	Respite Care
12	174200000X	Meals Provider
13	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1457036485
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LG EXCEPTIONAL CARE ENTERPRISES LLC

Provider Business Mailing Address
First Line	:	6220 WESTPARK DR STE 143
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-7371
Country	:	US
Telephone Number	:	281-948-8420
Fax Number	:

Provider Business Practice Location Address
First Line	:	6220 WESTPARK DR STE 143
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-7371
Country	:	US
Telephone Number	:	281-948-8420
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ROBBIE NEAL
Credential	:
Telephone Number	:	281-948-8420

Provider Enumeration Date	:	06/19/2023
Last Update Date	:	05/08/2026

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Directions to “LG EXCEPTIONAL CARE ENTERPRISES LLC ” Practice Location

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