Lewis Health Care Facility Inc

Primary specialty

Nursing Facility Supplies (DME)Taxonomy code 332BN1400X

License

DME00G318 Issued in TX

Legal business name

LEWIS HEALTH CARE FACILITY INC

Doing business as

Pine Shadow Retreat

Practice address

23450 Pine Shadow Lane
Porter, TX 77365-0889

Phone

(281) 354-2155

Fax

(281) 354-6515

NPI assigned

Nov 10, 2005

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Betty Lewis Swabado

Title

Assistant Administrator

Phone

(281) 354-2155

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Pine Shadow Retreat Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1225019755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 889",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773650889",
            "telephone_number": "281-354-2155",
            "fax_number": "281-354-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23450 PINE SHADOW LANE",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773650889",
            "telephone_number": "281-354-2155",
            "fax_number": "281-354-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS HEALTH CARE FACILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SWABADO",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "281-354-2155",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "TX",
            "license": "DME00G318",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": "1072420001",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "DME00G318",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Shadow Retreat",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laboratory Corporation of America
• Rosaland Rochelle Lacy-Taylor, FNP-BC
• Justin Laird, LVN
• Crystal E Langlois, OTR
• Cassie Dupree Lee, SLP
• Amy Lewis, RD
• Little Gray Rose LLC
• Amy Catherine Lothian, MD
• Kimberlyn Loving, PHYSICAL THERAPIST
• Denise Maciel, PHARMD

• Nursing Facility Supplies (DME) in Porter, TX
• Providers in Porter, TX by specialty
• Nursing Facility Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.