- Enrollment id
- O20070111000505
- Enrollment state
- OH
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1942301908
- Multiple npi flag
- N
- Ccn
- 366013
- Associate id
- 3678573169
- Organization name
- ORION LEXINGTON LLC
- Doing business as name
- LEXINGTON COURT CARE CENTER
- Incorporation date
- 2004-10-31
- Incorporation state
- DE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- LEXINGTON COURT CARE CENTER
- Affiliation entity name
- ATRIUM CENTERS
- Affiliation entity id
- 54
- Address line 1
- 250 DELAWARE AVE
- City
- LEXINGTON
- State
- OH
- Zip code
- 449041215