Lakeshore Community Services, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

LAKESHORE COMMUNITY SERVICES, INC.

Practice address

1350 W 26TH St
Erie, PA 16508-1402

Phone

(814) 456-9962

Fax

(814) 456-0595

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Richard A. Ruedy

Title

Ceo

Phone

(814) 456-9962

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Lakeshore Community Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Lakeshore Comunity Services, Inc.

  • Home Health Agency
  • Erie, PA
  • NPI 1407904998
  NPD tax ID

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043369481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 W 26TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165081402",
            "telephone_number": "814-456-9962",
            "fax_number": "814-456-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 W 26TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165081402",
            "telephone_number": "814-456-9962",
            "fax_number": "814-456-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUEDY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-456-9962",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000010470079",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lake Erie Spine and Injury Center
• Lake Erie Womens Center
• Lake Shore Fire Department
• Jessica Elaine Lake, MS, RDN, LD
• Lakeland Area Hospice LP
• Lakeshore Comunity Services, Inc.
• Holly Lalewicz
• Lamar Neal, PSYD P.C.
• Andrew Lamb, PHARMD
• Jody Elaine Lambert, CRNP

• Case Management Agency in Erie, PA
• Providers in Erie, PA by specialty
• Case Management Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.