Provider Demographics
NPI:1609828847
Name:LEWIS HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:LEWIS HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR DIRECTOR OF NURSES
Authorized Official - Prefix:MS
Authorized Official - First Name:DONITA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:DEES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:903-632-2173
Mailing Address - Street 1:PO BOX 28
Mailing Address - Street 2:
Mailing Address - City:BOGATA
Mailing Address - State:TX
Mailing Address - Zip Code:75417-0028
Mailing Address - Country:US
Mailing Address - Phone:903-632-2173
Mailing Address - Fax:903-632-2174
Practice Address - Street 1:157 NORTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:BOGATA
Practice Address - State:TX
Practice Address - Zip Code:75417-2614
Practice Address - Country:US
Practice Address - Phone:903-632-2173
Practice Address - Fax:903-632-2174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679546Medicare Oscar/Certification