CAROLYN BOONE LEWIS HEALTH CARE CENTER INC (NPI# 1124162300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124162300 |
| Entity Type | Organization |
| Organization Name | CAROLYN BOONE LEWIS HEALTH CARE CENTER INC |
| Other Organization Name | GREATER SOUTHEAST COMMUNITY CENTER FOR THE AGING INC |
| Practice Address |
1380 Southern Ave Se Washington DC 20032-4623 |
| Practice Telephone | 2022795828 |
| Mailing Telephone | 2022795828 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2011-03-04 |
| Authorized Official Name | MR. JOSEPH B TUCKER (SR VICE PRESIDENT/CFO) |
| Authorized Official Telephone | 3016869010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | B131064 | DC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | 022869900 | 05 |
| Other Name | Type Code |
|---|---|
| Greater Southeast Community Center for the Aging Inc | Former Legal Business Name - Organization |
| Street Address |
1380 SOUTHERN AVE SE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20032-4623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740379890 | Joycelyn Copeland Gatling | Podiatrist | 1380 Southern Ave Se, Washington, DC 20032 | 2006-10-12 |
| 1326557000 | Serenity Rehabilitation and Health Center LLC | Skilled Nursing Facility | 1380 Southern Ave Se, Washington, DC 20032-4623 | 2017-09-25 |
| 1164871901 | Lynn Torres | Physical Therapist | 1380 Southern Ave Se, Washington, DC 20032-4623 | 2016-06-10 |
| 1144683087 | Haleigh Michelle Caughlin | Occupational Therapist | 1380 Southern Ave Se, Washington, DC 20032-4623 | 2016-03-29 |
| 1295109411 | Tayler Stanley | Speech-Language Pathologist | 1380 Southern Ave Se, Washington, DC 20032-4623 | 2015-11-27 |
| 1639576192 | Brinton Woods of Washington Dc, LLC | Skilled Nursing Facility | 1380 Southern Ave Se, Washington, DC 20032-4623 | 2014-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753714 | Ebonie Hawkins | Counselor | 101 Xenia St Suite 200 Sw, Washington, DC 20032 | 2020-09-03 |
| 1639788938 | Richard Quinones | Technician | 4346 Livingston Rd Se, B, Washington, DC 20032 | 2020-07-23 |
| 1720603244 | Ankur Sah Swarnakar | Student in an Organized Health Care Education/Training Program | 1100 Alabama Ave Southeast, 2nd Floor, Suite 238, Washington, DC 20032 | 2020-06-10 |
| 1225659519 | Michael Thomas Moore | Counselor | 920 Belview St. Se, Washington, DC 20032 | 2020-04-28 |
| 1144878240 | Erika Kirkpatrick | Behavior Technician | 1218 Southern Ave Apt304 Se, Washgton Dc, DC 20032 | 2019-08-31 |
| 1982251351 | Agazit Asihel | Counselor | Friendship Charter School 645 Milwaukee Pl, Washington Dc, DC 20032 | 2019-08-21 |
| 1538715412 | Omonike Grace Adeosun | Home Health Aide | 2625 Martin Luther King Jr Ave Se, Apt 1, Washington, DC 20032 | 2019-08-15 |
| 1932753571 | Nadesh Mengwi Muluh | Home Health Aide | 2759 Martin Luther King Jr Avenue, Washington, DC 20032 | 2019-08-01 |
| 1376100115 | Kelsey Hobart | Student in an Organized Health Care Education/Training Program | Dc Dbh Seh Psych Residency 1100 Alabama Avenue, Se, Suite 238, Washington, DC 20032 | 2019-05-28 |
| 1407321417 | Abigail Christine Burke | Physical Therapist | 3146 Arnold Avenue Sw, Washington, DC 20032 | 2018-10-05 |
| Find all providers in zip 20032 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841688298 | Daviess County Hospital | Skilled Nursing Facility | 1694 Troy Rd, Washington, IN 47501-8211 | 2015-01-07 |
| 1891124103 | Jamie Lilley | Skilled Nursing Facility | 1734 John Small Ave, Washington, NC 27889-7387 | 2013-11-06 |
| 1396010781 | Supplemental Health Care | Skilled Nursing Facility | 1759 W 5th St, Washington, NC 27889-4003 | 2012-03-19 |
| 1558657114 | Kyle Lee Decker | Skilled Nursing Facility | 504 E Telegraph St Unit 81, Washington, UT 84780-8851 | 2011-06-22 |
| 1063710812 | Eban Health Services Inc | Skilled Nursing Facility | 3502 18th St.. Ne, Suite 1, Washington, DC 20018 | 2011-03-03 |
| 1619136025 | Peoplefirst | Skilled Nursing Facility | 250 Lovers Lane, Washington, NC 27889 | 2008-06-02 |
| 1093983827 | Rock Creek Nursing Center Inc | Skilled Nursing Facility | 2131 O St Nw, Washington, DC 20037-1008 | 2008-02-14 |
| 1275713463 | The Medilodge Group, Inc. | Skilled Nursing Facility | 64500 Van Dyke Rd, Washington, MI 48095-2583 | 2007-11-06 |
| 1962559104 | Stoddard Baptist Home | Skilled Nursing Facility | 1818 Newton St Nw, Washington, DC 20010-1017 | 2007-01-03 |
| 1316005069 | Jb Johnson Nursing Center | Skilled Nursing Facility | 901 1st St Nw, Washington, DC 20001-1403 | 2006-12-05 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20032 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.