Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carolyn Boone Lewis Health Care Center Inc

Organization Skilled Nursing Facility · NPI 1124162300

Carolyn Boone Lewis Health Care Center Inc is a Skilled Nursing Facility in Washington, District of Columbia. Licensed in District of Columbia. Registered with an NPI since 2007.

Licensed in
DC
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1380 Southern Ave SE
Washington, DC 20032-4623
Phone: (202) 279-5828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence B131064 (DC)

Record details

NPI number1124162300
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Tucker — Sr Vice President/Cfo · (301) 686-9010
Other names Greater Southeast Community Center For The Aging Inc
NPI enumeratedFebruary 19, 2007
Last updated in NPPESMarch 4, 2011
Mailing address1380 Southern Ave Se, Washington, DC 20032-4623

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