Lewis Adult Family Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6906872 Issued in FL

Legal business name

LEWIS ADULT FAMILY CARE HOME

Practice address

149 Hagerstown St SW
Palm Bay, FL 32908-7631

Phone

(321) 505-1770

NPI assigned

Jul 17, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Donna Stewart

Title

Owner

Phone

(321) 505-1770

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1468713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468713600000",
    "number": "1366895195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 HAGERSTOWN ST SW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329087631",
            "telephone_number": "321-505-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 HAGERSTOWN ST SW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329087631",
            "telephone_number": "321-505-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS ADULT FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-17",
        "last_updated": "2016-07-17",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-505-1770",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jiyoung Lee
• Lisa Marie Lee
• Doris Margarita Leedy, M.D.
• Elizabeth Lekas, RN, BSN
• Let'S Figure It Out Together LLC
• Judson Lewis, MD
• Melanie Lewis, RD
• Merle S Lewis, M.D.
• Cheryl C Liburd, BCBA
• Lifeforce Chiropractic, Inc.

• Adult Care Home Facility in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2016; 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.