MEDICARE: LEWIS HOME HEALTH CARE INC.

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	251E00000X	Home Health Agency		TX

General Provider Information

NPI Number	:	1609828847
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEWIS HOME HEALTH CARE INC.

Provider Business Mailing Address
First Line	:	PO BOX 28
Second Line	:
City	:	BOGATA
State	:	TX
Zip	:	75417-0028
Country	:	US
Telephone Number	:	903-632-2173
Fax Number	:	903-632-2174

Provider Business Practice Location Address
First Line	:	157 NORTH MAIN STREET
Second Line	:
City	:	BOGATA
State	:	TX
Zip	:	75417-2614
Country	:	US
Telephone Number	:	903-632-2173
Fax Number	:	903-632-2174

Authorized Official
Title or Position	:	ADMINISTRATOR DIRECTOR OF NURSES
Name	:	MS. DONITA KAY DEES
Credential	:	RN
Telephone Number	:	903-632-2173

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	08/06/2007

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