Organization Active NPI

Lewis Memorial, Inc

Doing business as Lewis Memorial Methodist Home

  • Custodial Care Facility
  • Franklin, KY
National Provider Identifier
1750507547
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
100390 Issued in KY
Legal business name
LEWIS MEMORIAL, INC
Doing business as
Lewis Memorial Methodist Home
Practice address
2905 Bowling Green Rd
Franklin, KY 42134-9607
Phone
(270) 586-3461
Fax
(270) 586-8915
NPI assigned
Apr 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Dorothy C. Clarke
Title
Administrator, Ex-Dir Board of Dir.
Phone
(270) 586-3461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X 100390 KY Primary

Addresses

Primary practice location

2905 Bowling Green Rd
Franklin, KY 42134-9607

Mailing address

2905 Bowling Green Rd
Franklin, KY 42134-9607
Phone (270) 586-3461

Other names 1

  • Lewis Memorial Methodist Home Doing business as

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
18D1083950Lewis Memorial, Inc2905 Bowling Green Road, Franklin, KY 42134Certificate of waiverOct 22, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750507547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 BOWLING GREEN RD",
            "city": "FRANKLIN",
            "state": "KY",
            "postal_code": "421349607",
            "telephone_number": "270-586-3461",
            "fax_number": "270-586-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 BOWLING GREEN RD",
            "city": "FRANKLIN",
            "state": "KY",
            "postal_code": "421349607",
            "telephone_number": "270-586-3461",
            "fax_number": "270-586-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS MEMORIAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "ADMINISTRATOR, EX-DIR BOARD OF DIR.",
        "authorized_official_telephone_number": "270-586-3461",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "KY",
            "license": "100390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lewis Memorial Methodist Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.