Lakeshore Home Care Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

03770L Issued in MI

Legal business name

LAKESHORE HOME CARE SERVICES, INC.

Practice address

1105 S Mission St
Mt Pleasant, MI 48858-3914

Phone

(989) 772-5000

Fax

(989) 772-5005

NPI assigned

Feb 9, 2011

Organization subpart

No

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

Authorized official

Name

Jackie Patel

Title

Administrator

Phone

(989) 772-5000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1194021055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 S MISSION ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488583914",
            "telephone_number": "989-772-5000",
            "fax_number": "989-772-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 S MISSION ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488583914",
            "telephone_number": "989-772-5000",
            "fax_number": "989-772-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE HOME CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "989-772-5000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "03770L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN STATE ID",
            "identifier": "03770L",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandria Ryan La, LMSW
• Mary Lachance
• Patrick Edward Lachance, BS,LBSW,QMHP,CMHP
• Lisa Marie Laduca, LLMSW
• Pyper Shae Lake
• Maria Lamerato, PT, DPT
• Christine Marie Landino, LMSW
• Binh H Lang
• Alizah Langlois
• Steven Lapso, ATC

• Home Health Agency in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.