Lakeside Home Care Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

234419 Issued in FL

Legal business name

LAKESIDE HOME CARE SERVICES

Practice address

4222 W Green St
Tampa, FL 33607-4102

Phone

(813) 321-0440

Fax

(813) 280-9151

NPI assigned

May 10, 2016

Organization subpart

No

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

Authorized official

Name

Lakina Lake

Title

Administrator

Phone

(813) 321-0440

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1326494105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 W GREEN ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336074102",
            "telephone_number": "813-321-0440",
            "fax_number": "813-280-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 W GREEN ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336074102",
            "telephone_number": "813-321-0440",
            "fax_number": "813-280-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "LAKE",
        "authorized_official_first_name": "LAKINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-321-0440"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "234419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOMEMAKER & COMPAINION SERVICES",
            "identifier": "234419",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharad R. Lakdawala, M.D.
• Lake Park Dental
• Jalissa Lake
• Kadejah Lake
• Beth Ann Lakes, LMHC
• Lakeside Occupational Medical Centers, Inc.
• Lakeside Occupational Medical Centers, Inc.
• Lakeside Occupational Medical Centers, Inc.
• Lakeside Occupational Medical Centers, Inc.
• Anas Lakhani

• In Home Supportive Care Agency in Tampa, FL
• Providers in Tampa, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.