Pine Shadow Retreat

LBN: Lewis Health Care Facility Inc
Pine Shadow Retreat is an health care organization with primary practice located at 23450 Pine Shadow Lane , Porter TX 77365-0889. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition, Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility. Suppliers / Nursing Facility Supplies is the primary health care specialty. Lewis Health Care Facility Inc can be contacted via phone (281) 354-2155, or through Swabado, Betty Lewis via phone (281) 354-2155.

Contact Information

Primary practice address
23450 Pine Shadow Lane Porter TX 77365-0889
Phone: (281) 354-2155
Fax: (281) 354-6515
Website:
Map and Directions
Authorized official contact:
Name: Swabado, Betty Lewis
Phone: (281) 354-2155

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Nursing Facility Supplies 332BN1400X DME00G318 Texas
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 1072420001
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X Texas

Profile Details

NPI number 1225019755
LBN Legal business name Lewis Health Care Facility Inc
DBA Doing business as Pine Shadow Retreat
Authorized official Swabado, Betty Lewis
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225019755 NPPES
Texas Other DME00G318 STATE LICENSE #

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