Lakes Home Solutions LLC
Organization Active NPI Occupational Therapist · Perham, MN
NPI 1376290338 · NPPES record last updated Mar 9, 2022
Key facts
- NPI
- 1376290338
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Occupational Therapist 225X00000X
- Legal business name
- LAKES HOME SOLUTIONS LLC
- Practice address
- 43880 W Paul Lake Dr
Perham, MN 56573-8616 - Phone
- (218) 298-0869
- NPI assigned
- Mar 9, 2022
- Organization subpart
- No
Authorized official
- Name
- Robert James Hendrickson, OTR/L
- Title
- Occupational Therapist
- Phone
- (218) 298-0869
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220504002720 | MN | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 6800283128 |
Receives reassigned benefits from 1 practitioner Practice locations: Perham, MN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist |
225X00000X | Yes |
Addresses
Primary practice location
43880 W Paul Lake Dr
Perham, MN 56573-8616
Mailing address
43880 W Paul Lake Dr
Perham, MN 56573-8616
Phone (218) 298-0869
Other names
- Lakes Home Solutions
Other providers in Perham, MN
- Jessica Kopischke
- Brittany Krause
- Michelle R Kuebler
- Lakes Country Chiropractic P.a.
- Lakes Family Eyecare, Inc.
- Langen Family Chiropractic, P.a.
- James Odin Langen
- Katlin Larson
- Janelle Lass
- Hannah Layman
All providers in Perham, MN · Occupational Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.