Lakeside Home Care Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LAKESIDE HOME CARE SERVICES LLC

Practice address

3723 Long Lake Rd
Cheboygan, MI 49721-9276

Phone

(231) 333-7333

NPI assigned

Jan 30, 2025

Organization subpart

No

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

Authorized official

Name

Megan Charboneau

Title

Owner

Phone

(231) 333-7333

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1033922240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3723 LONG LAKE RD",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497219276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3723 LONG LAKE RD",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497219276",
            "telephone_number": "231-333-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "CHARBONEAU",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-333-7333"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody Kosanke, MA, CCC-SLP
• Zoey Kowalski, LLMSW
• Abby Kroczaleski
• Mathew Robert Laberge
• Lakeside Haven Management Group
• Abbi Jo Lalond
• Kaitlin Marie Lalonde, PA-C
• Leja Jackson Inc
• Loretta M Leja, M.D.
• Life Chiropractic and Wellness Center Inc.

• In Home Supportive Care Agency in Cheboygan, MI
• Providers in Cheboygan, MI by specialty
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.