1. Home
  2. Directory
  3. Michigan
  4. Detroit
  5. Custodial Care Facility
  6. NPI Profile

LEWIS MANOR HOMES, LTD
NPI 1831059161
Custodial Care Facility - Adult Care Home in Detroit, MI

Active since November 18, 2025CLIA 23D2207574 · Waiver
639 HAZELWOOD ST, DETROIT, MI 48202(313) 268-5204(313) 861-0644 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lewis Manor Homes, Ltd NPPES

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

LEWIS MANOR HOMES, LTD (NPI 1831059161) is a healthcare organization registered as an adult care home in Detroit, Michigan and active in the NPI registry since November 2025. The organization holds a CLIA Waiver certificate valid through December 28, 2026, maintains 2 additional practice locations, and lists Ellen Lewis, President, as its authorized official.

NPPES Registry Identity

NPI1831059161
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameLEWIS MANOR HOMES, LTD
Location Address639 HAZELWOOD STDetroit, MI 48202-1715
Mailing Address639 Hazelwood StDetroit, MI 48202-1715 · (313) 268-5204 · Fax (313) 861-0644
Phone(313) 268-5204
Fax(313) 861-0644
Organization SubpartNo
Authorized OfficialEllen LewisPresident · (313) 268-5204
Enumeration DateNovember 18, 2025
NPPES CertifiedNovember 18, 2025
✔ NPI 1831059161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
639 HAZELWOOD ST, Detroit, MI 48202
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11625 Webb StDetroit, MI 48206-1349 · Phone (313) 268-5204 · Fax (313) 861-0644
Location 282 King StDetroit, MI 48202-2127 · Phone (313) 268-5204 · Fax (313) 861-0644

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2207574

Lewis Manor Home N West · Detroit, MI
Active · expires Dec 28, 2026
CLIA Number23D2207574
Laboratory TypeAFC Home
Certificate Effective DateDecember 29, 2024
Certificate Expiration DateDecember 28, 2026
Laboratory DirectorEllen Lewis
Laboratory Phone(313) 268-5204
Laboratory LocationLewis Manor Home N West1625 Webb, Detroit, MI 48206
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Lewis Manor Homes, Ltd's NPI number?

The NPI number for Lewis Manor Homes, Ltd is 1831059161. It was assigned to this organization in the NPPES registry on November 18, 2025.

Where is Lewis Manor Homes, Ltd located?

Lewis Manor Homes, Ltd is located at 639 Hazelwood St, Detroit, MI 48202. The listed phone number is (313) 268-5204.

What is Lewis Manor Homes, Ltd's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Does Lewis Manor Homes, Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2207574) is associated with this NPI, valid through December 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lewis Manor Homes, Ltd was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.