Lewis Bailey Residential Care Facility for the Elderly L.L.C.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LEWIS BAILEY RESIDENTIAL CARE FACILITY FOR THE ELDERLY L.L.C.

Practice address

26364 Mallory CT
Menifee, CA 92584-3818

Phone

(951) 430-1921

Fax

(951) 430-4743

NPI assigned

Mar 30, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Tari Lewis

Title

Owner/Administrator

Phone

(951) 430-1921

Specialties & licenses 7

Addresses

Other names 1

• Lewis Bailey Senior Home Care Other name

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585526400000",
    "number": "1720616360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26364 MALLORY CT",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925843818",
            "telephone_number": "951-430-1921",
            "fax_number": "951-430-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26364 MALLORY CT",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925843818",
            "telephone_number": "951-430-1921",
            "fax_number": "951-430-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS BAILEY RESIDENTIAL CARE FACILITY FOR THE ELDERLY L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "TARI",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "951-430-1921",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lewis Bailey Senior Home Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility in Menifee, CA
• Providers in Menifee, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.