Lakes Housing Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LAKES HOUSING SERVICES LLC

Practice address

13176 Coral Sea CT NE
Blaine, MN 55449-0019

Phone

(612) 547-8061

NPI assigned

Oct 4, 2022

Organization subpart

No

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

Authorized official

Name

Khalid Mohamed Ahmeed

Title

Ceo

Phone

(612) 208-6703

Specialties & licenses 1

Addresses

Practitioners 1

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

• Khalid Mohamed Ahmed

  • Community Health Worker
  • Blaine, MN
  • NPI 1346008091
  NPD

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1235854050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13176 CORAL SEA CT NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554490019",
            "telephone_number": "612-547-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13176 CORAL SEA CT NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554490019",
            "telephone_number": "612-547-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES HOUSING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "AHMEED",
        "authorized_official_first_name": "KHALID",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-208-6703"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Marie Kunkel, PHARMD
• Kyle Novotny DDS PLLC
• Laboratory Corporation of America Holdings
• Jennifer Lach
• Lakeland Health Services, Inc.
• William Lamers, LAMFT
• Kelly Anne Tikkanen Lang, DDS
• Mary M Laplant, PHARMD
• Daniel Larscheid, DDS
• Shelly Lea Larson-Peters, M.D.

• Community/Behavioral Health Agency in Blaine, MN
• Providers in Blaine, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.