Provider Demographics
NPI:1194100453
Name:LENNOX HEALTHCARE LLC
Entity type:Organization
Organization Name:LENNOX HEALTHCARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:HILLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-873-7977
Mailing Address - Street 1:4420 VALLEY VIEW RD
Mailing Address - Street 2:201
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55424-1870
Mailing Address - Country:US
Mailing Address - Phone:952-873-7977
Mailing Address - Fax:
Practice Address - Street 1:220 S LINCOLN ST
Practice Address - Street 2:
Practice Address - City:LENNOX
Practice Address - State:SD
Practice Address - Zip Code:57039-2306
Practice Address - Country:US
Practice Address - Phone:605-547-5515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-28
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD10741310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility