NPIMap

Organization Active NPI

Lewis Home Health Care Inc.

  • Home Health Agency
  • Bogata, TX
National Provider Identifier
1609828847
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LEWIS HOME HEALTH CARE INC.
Practice address
157 North Main Street
Bogata, TX 75417-2614
Phone
(903) 632-2173
Fax
(903) 632-2174
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Authorized official

Name
Ms. Donita Kay Dees, RN
Title
Administrator Director of Nurses
Phone
(903) 632-2173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X TX Primary

Addresses

Primary practice location

157 North Main Street
Bogata, TX 75417-2614

Mailing address

PO Box 28
Bogata, TX 75417-0028
Phone (903) 632-2173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060719000146 TX Part A Provider - Home Health Agency 1850304775 Practice locations: Bogata, TX

Home health agency certification: CCN 679546

Legal name
LEWIS HOME HEALTH CARE INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 31, 2006
Last certification
Sep 23, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 1, 2006 in TX
Enrollment address
157 North Main Street
Bogata, TX 75417-2614

Care Compare: Home health agency

Medicare Care Compare
Listed as
Lewis Home Health Care IncCCN 679546
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Aug 31, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1052913Lewis Home Health Care Inc157 N Main St, Bogata, TX 75417Certificate of waiverApr 6, 2028

National Provider Directory

National Provider Directory

Locations

157 N Main St
Bogata, TX 75417
Phone (903) 632-2173

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Charles Lewis Individual 5% Or Greater Direct Ownership Interest Apr 1, 2006
Corporate Director Apr 1, 2006
W-2 Managing Employee Apr 1, 2006
Donita Dees Individual 5% Or Greater Direct Ownership Interest Apr 1, 2006
Corporate Director Apr 1, 2006
W-2 Managing Employee Apr 1, 2006
Donnie Lewis Individual 5% Or Greater Direct Ownership Interest Apr 1, 2006
Corporate Director Apr 1, 2006
Charles Lewis Individual 5% Or Greater Direct Ownership Interest Apr 1, 2006
Corporate Director Apr 1, 2006
W-2 Managing Employee Apr 1, 2006
Tonya Cannaday Individual W-2 Managing Employee Jan 25, 2012
Operational/Managerial Control Jan 25, 2012
Amber Hawkins Individual Corporate OfficerAlternate Administrator Jul 1, 2025
W-2 Managing EmployeeAd; Jul 1, 2025

Practitioners & affiliated clinicians

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1609828847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28",
            "city": "BOGATA",
            "state": "TX",
            "postal_code": "754170028",
            "telephone_number": "903-632-2173",
            "fax_number": "903-632-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 NORTH MAIN STREET",
            "city": "BOGATA",
            "state": "TX",
            "postal_code": "754172614",
            "telephone_number": "903-632-2173",
            "fax_number": "903-632-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "DEES",
        "authorized_official_first_name": "DONITA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "ADMINISTRATOR DIRECTOR OF NURSES",
        "authorized_official_telephone_number": "903-632-2173",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bogata, TX

Sources for this page

Verify at the official NPI Registry.