Organization Active NPI

Lake House Home Health Agency, LLC

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1336706878
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LAKE HOUSE HOME HEALTH AGENCY, LLC
Practice address
10935 Estate LN Ste 119
Dallas, TX 75238-2316
Phone
(469) 206-0395
Fax
(469) 206-0395
NPI assigned
May 21, 2019
Last updated
May 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Authorized official

Name
James Steven Gallagher
Title
Owner
Phone
(469) 206-0395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

10935 Estate LN Ste 119
Dallas, TX 75238-2316

Mailing address

10935 Estate LN Ste 119
Dallas, TX 75238-2316
Phone (469) 206-0395

National Provider Directory

National Provider Directory

Locations

10935 Estate Ln
Ste 119
Dallas, TX 75238
Phone (469) 206-0395

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558396800000",
    "number": "1336706878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10935 ESTATE LN STE 119",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752382316",
            "telephone_number": "469-206-0395",
            "fax_number": "469-206-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10935 ESTATE LN STE 119",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752382316",
            "telephone_number": "469-206-0395",
            "fax_number": "469-206-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE HOUSE HOME HEALTH AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-05-21",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-206-0395"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.