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General NPI Number Information
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NPI Number | 1225019755
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Entity Type | Organization
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Legal Business Name | LEWIS HEALTH CARE FACILITY INC
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Dates
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Enumeration Date | 11/10/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 23450 PINE SHADOW LANE
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City | PORTER
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State | TX
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Zip | 77365-0889
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Country | US
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Telephone | 281-354-2155
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Fax | 281-354-6515
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Provider Business Mailing Address
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Address Line | PO BOX 889
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City | PORTER
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State | TX
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Zip | 77365-0889
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Country | US
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Telephone | 281-354-2155
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Fax | 281-354-6515
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Authorized Official
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Title or Position | ASSISTANT ADMINISTRATOR
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Name | MRS. BETTY LEWIS SWABADO
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Credential |
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Telephone | 281-354-2155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 1072420001
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number | DME00G318
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State | TX
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