LEWIS HEALTH CARE FACILITY INC (NPI# 1225019755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225019755 |
| Entity Type | Organization |
| Organization Name | LEWIS HEALTH CARE FACILITY INC |
| Other Organization Name | PINE SHADOW RETREAT |
| Practice Address |
23450 Pine Shadow Lane Porter TX 77365-0889 |
| Mailing Address |
Po Box 889 Porter TX 77365-0889 |
| Practice Telephone | 2813542155 |
| Practice Fax Number | 2813546515 |
| Mailing Telephone | 2813542155 |
| Mailing Fax Number | 2813546515 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. BETTY LEWIS SWABADO (ASSISTANT ADMINISTRATOR) |
| Authorized Official Telephone | 2813542155 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
DME00G318 | TX | Suppliers |
| X | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
1072420001 | Suppliers | |
| X | 313M00000X | Nursing Facility/Intermediate Care Facility | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE LICENSE # | DME00G318 | 01 |
| Other Name | Type Code |
|---|---|
| Pine Shadow Retreat | Doing Business As Name - Organization |
| Street Address |
23450 PINE SHADOW LANE |
| City | PORTER |
| State | TX |
| Zip Code | 77365-0889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235764101 | Brenda Lee Kyger-skidgel | Counselor | 22865 Mersey Ct., Porter, TX 77365 | 2020-03-11 |
| 1003456716 | Samer A Faraj Dds Ms Pllc | Dentist | 23762 Us 59 Ste A, Porter, TX 77365 | 2020-01-10 |
| 1013561505 | Touchstone Strategies - Mc2 LLC | Skilled Nursing Facility | 23200 Valley Ranch Parkway, Porter, TX 77365 | 2019-08-01 |
| 1386201366 | Tnn Dental, Pllc | Clinic/Center | 23896 Tx-494 Loop, Porter, TX 77365 | 2019-05-24 |
| 1235792771 | Med Point Pharmacy LLC | Pharmacy | 21013 Old Sorters Rd Ste C, Porter, TX 77365 | 2019-04-19 |
| 1992275374 | Rozanne Bailey Allred | Nurse Practitioner | 22947 Volga Dr, Porter, TX 77365 | 2018-11-28 |
| 1801378849 | Northeast Houston Dental Specialists Pllc | Dentist | 23762 Us 59, Porter, TX 77365 | 2018-09-06 |
| 1275013716 | Suzanne Louise Jones | Registered Nurse | 110 Cypress Station Dr., Ste 270, Porter, TX 77365 | 2018-08-15 |
| 1174010490 | Feel Better Consulting LLC | Clinic/Center | 21898 Fm 1314 Suite B, Porter, TX 77365 | 2018-04-23 |
| 1881102473 | Amam53 Pllc | Dentist | 21693 Fm 1314, Porter, TX 77365 | 2018-01-17 |
| Find all providers in zip 77365 | ||||
| Taxonomy Code | 332BN1400X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Nursing Facility Supplies |
| Definition to come... |
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| 1821645193 | Goldcrest Medical Equipment Services, Inc | Durable Medical Equipment & Medical Supplies | 8035 E Rl Thrtn Fwy Ste 586, Dallas, TX 75228-7064 | 2019-08-21 |
| 1093238081 | Medy Corporation | Durable Medical Equipment & Medical Supplies | 33420 Lago Vista Real St, The Woodlands, TX 77354-2436 | 2017-07-20 |
| 1760869101 | Zikam Neighborhood Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 21920 Bulverde Rd # 102103, San Antonio, TX 78259-2181 | 2015-05-06 |
| 1396150124 | Catheter Safety Product LLC | Durable Medical Equipment & Medical Supplies | 5015 Addison Cir # 282, Addison, TX 75001-3308 | 2014-07-01 |
| 1497092357 | C3mj Medical Supplies | Durable Medical Equipment & Medical Supplies | 11651 Wren Crossing Dr, Houston, TX 77038-3616 | 2013-01-12 |
| 1992092092 | Cidel Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 804 W Shore Dr, Suite 11, Richardson, TX 75080-5047 | 2011-07-09 |
| 1750603981 | Healthcare Plus Supplies Inc. | Durable Medical Equipment & Medical Supplies | 5550 Harvest Hill Rd Ste 120, Dallas, TX 75230-1684 | 2010-02-15 |
| 1053643544 | S&r Industries | Durable Medical Equipment & Medical Supplies | 6511 Bridgewater Cv, Austin, TX 78723-3906 | 2010-02-08 |
| 1134450190 | Clifton Medical Equipment & Supply Inc | Durable Medical Equipment & Medical Supplies | 117 N Avenue G, Clifton, TX 76634-1523 | 2010-01-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.