Organization
LEWIS HEALTH CARE FACILITY INC
Active
Organization
LEWIS HEALTH CARE FACILITY INC
Active
Other names
Pine Shadow Retreat
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY LEWIS SWABADO (ASSISTANT ADMINISTRATOR)
(281) 354-2155
Entity
Organization
Contact information
Practice address
23450 PINE SHADOW LANE, PORTER, TX 77365-0889
(281) 354-2155
(281) 354-6515
Mailing address
PO BOX 889, PORTER, TX 77365-0889
(281) 354-2155
(281) 354-6515
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
TX
332BN1400X
Nursing Facility Supplies (DME)
Primary
DME00G318
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
1072420001
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DME00G318
STATE LICENSE #
TX
Enumeration date
11/10/2005
Last updated
09/11/2025
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