The Lakes Home Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

THE LAKES HOME CARE INC

Practice address

14411 Commerce Way Ste 200
Miami Lakes, FL 33016-1531

Phone

(305) 817-3912

Fax

(954) 578-2949

NPI assigned

Jan 10, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Katia Garrido

Title

President

Phone

(305) 817-3912

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 687364

Legal name

THE LAKES HOME CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 18, 2024

Last certification

Dec 12, 2023

Organization structure

CorporationProprietary

Incorporated

Jun 26, 2019 in FL

Enrollment address

14411 Commerce Way
Ste 200
Miami Lakes, FL 33016-1531

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• The Lakes Home Care Inc

  • Home Health Agency
  • Ave Maria, FL
  • NPI 1184306854

  0547647877

  Same PAC ID

Listed as

The Lakes Home Care IncCCN 687364

Ownership

-

Certified

Feb 18, 2024

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

The Lakes Home Care Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• The Lakes Home Care Inc

  • Home Health Agency
  • Palm Beach Gardens, FL
  • NPI 1154140978
  NPD tax ID
• The Lakes Home Care Inc

  • Home Health Agency
  • Ave Maria, FL
  • NPI 1184306854
  NPD tax ID
• The Lakes Home Care Inc

  • Home Health Agency
  • Weston, FL
  • NPI 1487336145
  NPD tax ID

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1003456724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14411 COMMERCE WAY STE 200",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161531",
            "telephone_number": "305-817-3912",
            "fax_number": "954-578-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14411 COMMERCE WAY STE 200",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161531",
            "telephone_number": "305-817-3912",
            "fax_number": "954-578-2949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5072 Annunciation Cir Ste 238",
            "address_purpose": "LOCATION",
            "city": "Ave Maria",
            "state": "FL",
            "postal_code": "341429639",
            "country_code": "US",
            "telephone_number": "305-817-3912",
            "fax_number": "305-684-8979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1820 N Corporate Lakes Blvd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333263269",
            "country_code": "US",
            "telephone_number": "305-817-3912",
            "fax_number": "305-684-8979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE LAKES HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2023-12-06",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "GARRIDO",
        "authorized_official_first_name": "KATIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-817-3912",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109500300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Targeted Case Management of Florida, Inc
• Annabel Mercedes Tato
• Jinette Tavarez
• Perla Altagracia Taveras
• Tender Loving Care Health Care Services of Dade, LLC
• The Lakes Home Health Agency, Inc.
• The Lakes Homehealth Corp
• The Lighthouse Behavioral Services, LLC
• The Rainbow'S Behavior Corp
• The Spot Rehab LLC

• Home Health Agency in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.