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Carolyn Boone Lewis Health Care Center Inc — NPI 1124162300, Washington, DC | NPI Central

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Carolyn Boone Lewis Health Care Center Inc

NPI 1124162300 · Skilled Nursing Facility · Washington, DC

Provider details

NPI number: 1124162300
Entity type: Organization
Primary specialty: Skilled Nursing FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Joseph Tucker, Sr Vice President/Cfo(301) 686-9010
License: B131064 (DC)

Specialties & taxonomies

Skilled Nursing FacilityPrimary314000000XLicense B131064 (DC)
Nursing & Custodial Care Facilities

Practice location

1380 Southern Ave Se

Washington, DC 20032-4623

Phone: (202) 279-5828

Approximate (ZIP-level) locationGet directions

More DC providers

Mailing address

1380 Southern Ave Se

Washington, DC 20032-4623

Other names (DBA / former)

Former legal business name: Greater Southeast Community Center for the Aging Inc

Registry dates

Enumerated: 2007-02-19
Last updated: 2011-03-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.