Lakeland Homecare LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LAKELAND HOMECARE LLC

Practice address

1604 Covington LN
Eagan, MN 55122-2759

Phone

(763) 280-6652

NPI assigned

Mar 22, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Altaf Khondakar

Title

Administrator

Phone

(763) 280-6652

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1114458221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 COVINGTON LN",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222759",
            "telephone_number": "763-280-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 COVINGTON LN",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222759",
            "telephone_number": "763-280-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "KHONDAKAR",
        "authorized_official_first_name": "ALTAF",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "763-280-6652",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Labelle, MD
• Amanda Lachance, PT
• Linda Lacher-Goddard, MACCCSLP
• Rebecca J Laing, PHARMD
• Lake City Family Physicians PC
• Lakeland Staffing Solutions, LLC
• Lakeline Transportation LLC
• Lakes Area Health Center, PLLC
• Laura Lynn Lammar-Binder, MA, LMFT
• Jennifer Landry, LGSW

• Assisted Living Facility in Eagan, MN
• Providers in Eagan, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.