Lakeside Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LAKESIDE HOSPICE

Practice address

1175 FM 2673 Ste 120
Canyon Lake, TX 78133-4514

Phone

(830) 265-7769

NPI assigned

Apr 17, 2026

Organization subpart

Yes

Parent organization

CARE AT HOME PARTNERSAs reported in NPPES

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

Authorized official

Name

Dr. Landon Roussel, MDNPI 1417397340

Title

President

Phone

(206) 786-5171

Specialties & licenses 1

Addresses

Part of

Care at Home Partners LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Landon Roussel, MD

  • Internal Medicine Physician
  • Canyon Lake, TX
  • NPI 1417397340
  NPD Authorized official

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

{
    "created_epoch": "1776384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1083558035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 FM 2673 STE 120",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781334514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 FM 2673 STE 120",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781334514",
            "telephone_number": "830-265-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE HOSPICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARE AT HOME PARTNERS",
        "enumeration_date": "2026-04-17",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "ROUSSEL",
        "authorized_official_first_name": "LANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-786-5171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Kopecki, LCSW
• Mary Koski
• Raymond Kresha, LPC
• Kelli Kuntz, RN
• Lakeside Dental Care, PLLC
• Lyndsay Lauhon
• Constance M Lenderman, LCSW
• Anita Louise Lightfoot, LPC INTERN
• Jordan Coleman Lightner, LPC-ASSOCIATE
• Melanie D Little, LMSW, LCDC

• Community Based Hospice Care Agency in Canyon Lake, TX
• Providers in Canyon Lake, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.