CAROLYN BOONE LEWIS HEALTH CARE CENTER INC
NPI 1124162300
Skilled Nursing Facility in Washington, DC

Active since February 19, 2007
1380 SOUTHERN AVE SE, WASHINGTON, DC 20032(202) 279-5828 Get Directions Write a Review

NPPES record last updated: March 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carolyn Boone Lewis Health Care Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLYN BOONE LEWIS HEALTH CARE CENTER INC (NPI 1124162300), doing business as Greater Southeast Community Center For The Aging Inc, is a healthcare organization registered as a skilled nursing facility in Washington, District Of Columbia and active in the NPI registry since February 2007. The organization lists Joseph B Tucker, Sr Vice President/cfo, as its authorized official.

NPPES Registry Identity

NPI1124162300
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCAROLYN BOONE LEWIS HEALTH CARE CENTER INC
Location Address1380 SOUTHERN AVE SEWashington, DC 20032-4623
Mailing Address1380 Southern Ave SeWashington, DC 20032-4623 · (202) 279-5828
Organization SubpartNo
Authorized OfficialJoseph B TuckerSr Vice President/cfo · (301) 686-9010
Enumeration DateFebruary 19, 2007
Last NPPES UpdateMarch 4, 2011
NPI 1124162300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in DC · B131064
Definition
(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.
1380 SOUTHERN AVE SE, Washington, DC 20032

Other Names 1

Former Legal Business NameGreater Southeast Community Center For The Aging Inc

Other Identifiers 2

Medicare OSCAR/certification095015DC
Medicaid022869900DC

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Gerontology)
1380 SOUTHERN AVE SE
WASHINGTON, DC 20032
Physical Therapist
1380 SOUTHERN AVE SE
WASHINGTON, DC 20032
Internal Medicine
1380 SOUTHERN AVE SE
WASHINGTON, DC 20032
Skilled Nursing Facility
1380 SOUTHERN AVE SE
WASHINGTON, DC 20032
Skilled Nursing Facility
1380 SOUTHERN AVE SE
WASHINGTON, DC 20032
Podiatrist
1380 SOUTHERN AVE SE
WASHINGTON, DC 20032
Registered Nurse (Psychiatric/Mental Health)
1380 SOUTHERN AVE SE
WASHINGTON, DC 20032
Internal Medicine
1380 SOUTHERN AVE SE
WASHINGTON, DC 20032

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolyn Boone Lewis Health Care Center Inc's NPI number?

The NPI number for Carolyn Boone Lewis Health Care Center Inc is 1124162300. It was assigned to this organization in the NPPES registry on February 19, 2007. The provider was formerly known as Greater Southeast Community Center For The Aging Inc.

Where is Carolyn Boone Lewis Health Care Center Inc located?

Carolyn Boone Lewis Health Care Center Inc is located at 1380 Southern Ave SE, Washington, DC 20032. The listed phone number is (202) 279-5828.

What is Carolyn Boone Lewis Health Care Center Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Carolyn Boone Lewis Health Care Center Inc was last updated on March 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.