MEDICARE: MRS. EDNA M LEWIN RN, MSN

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency
2	251E00000X	Home Health Agency	004177	TX
3	251E00000X	Home Health Agency
4	372500000X	Chore Provider
5	372600000X	Adult Companion
6	374U00000X	Home Health Aide
7	376J00000X	Homemaker
8	376K00000X	Nurse's Aide
9	225100000X	Physical Therapist
10	225X00000X	Occupational Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245568674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EDNA M LEWIN RN, MSN

Provider Business Mailing Address
First Line	:	7215 LA GRANADA DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-4136
Country	:	US
Telephone Number	:	281-575-0526
Fax Number	:	281-575-0057

Provider Business Practice Location Address
First Line	:	7215 LA GRANADA DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-4136
Country	:	US
Telephone Number	:	281-575-0526
Fax Number	:	281-575-0057

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/23/2009
Last Update Date	:	11/23/2009

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