Healthcare Provider Details
I. General information
NPI: 1235078924
Provider Name (Legal Business Name): SIMONE LEWIS CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
308 LOCUST PASS
OCALA FL
34472-6633
US
IV. Provider business mailing address
308 LOCUST PASS
OCALA FL
34472-6633
US
V. Phone/Fax
- Phone: 352-261-4051
- Fax: 352-261-4051
- Phone: 352-261-4051
- Fax: 352-261-4051
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 310400000X |
| Taxonomy | Assisted Living Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CLAUDETTE
ATKINSON
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 347-299-4478