Organization Active NPI

Home Care on the Lakeshore LLC

  • Home Health Agency
  • Muskegon, MI
National Provider Identifier
1144072158
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOME CARE ON THE LAKESHORE LLC
Practice address
1657 S Getty St Ste 10
Muskegon, MI 49442-5872
Phone
(231) 375-5133
Fax
(231) 375-8147
NPI assigned
Apr 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Authorized official

Name
Cheryl GuajardoNPI 1255103784
Title
Ceo
Phone
(231) 343-3079

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1657 S Getty St Ste 10
Muskegon, MI 49442-5872

Mailing address

1657 S Getty St Ste 10
Muskegon, MI 49442-5872
Phone (231) 375-5133

National Provider Directory

National Provider Directory

Locations

1657 S Getty St
Ste 10
Muskegon, MI 49442
Phone (231) 375-5133

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1144072158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 S GETTY ST STE 10",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494425872",
            "telephone_number": "231-375-5133",
            "fax_number": "231-375-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1657 S GETTY ST STE 10",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494425872",
            "telephone_number": "231-375-5133",
            "fax_number": "231-375-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE ON THE LAKESHORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "GUAJARDO",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "231-343-3079"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.