Individual provider · Type 1 NPI
Kerralen M. Lewis
Adult Care Home Facility · Miami Gardens, FL
NPI number
1538075379
Active
Practice location
2100 NW 175th St
Miami Gardens, FL 33056-4762
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | RN2804742 (FL) |
Adult Care Home Facility: 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.
Other adult care home facility providers in Miami Gardens
About NPI 1538075379
Kerralen M. Lewis's National Provider Identifier is 1538075379, issued on Aug 21, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Miami Gardens, FL. The record was last updated on Aug 21, 2026.