Organization Active NPI

Lewis Manor Homes, LTD

  • Adult Care Home Facility
  • Detroit, MI
National Provider Identifier
1831059161
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
LEWIS MANOR HOMES, LTD
Practice address
639 Hazelwood St
Detroit, MI 48202-1715
Phone
(313) 268-5204
Fax
(313) 861-0644
NPI assigned
Nov 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Ms. Ellen LewisNPI 1326871849
Title
President
Phone
(313) 268-5204

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

639 Hazelwood St
Detroit, MI 48202-1715

Mailing address

639 Hazelwood St
Detroit, MI 48202-1715
Phone (313) 268-5204

Other practice location 1

1625 Webb St
Detroit, MI 48206-1349
Phone (313) 268-5204

Other practice location 2

82 King St
Detroit, MI 48202-2127
Phone (313) 268-5204

National Provider Directory

National Provider Directory

Locations

1625 Webb St
Detroit, MI 48206
Phone (313) 268-5204

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1831059161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 HAZELWOOD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021715",
            "telephone_number": "313-268-5204",
            "fax_number": "313-861-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 HAZELWOOD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021715",
            "telephone_number": "313-268-5204",
            "fax_number": "313-861-0644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 Webb St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482061349",
            "country_code": "US",
            "telephone_number": "313-268-5204",
            "fax_number": "313-861-0644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "82 King St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482022127",
            "country_code": "US",
            "telephone_number": "313-268-5204",
            "fax_number": "313-861-0644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEWIS MANOR HOMES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-268-5204",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.