Organization Active NPI

The Lakes Home Health Services, Inc.

  • Home Health Agency
  • Sherman Oaks, CA
National Provider Identifier
1386104669
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
THE LAKES HOME HEALTH SERVICES, INC.
Practice address
14140 Ventura Blvd Ste 204
Sherman Oaks, CA 91423-2750
Phone
(818) 208-9276
Fax
(855) 832-0130
NPI assigned
Mar 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Authorized official

Name
Oscar Martinez
Title
Administrator
Phone
(833) 473-1490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14140 Ventura Blvd Ste 204
Sherman Oaks, CA 91423-2750

Mailing address

14140 Ventura Blvd Ste 204
Sherman Oaks, CA 91423-2750
Phone (833) 473-1490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200903000168 CA Part A Provider - Home Health Agency 4789001801 Practice locations: Sherman Oaks, CA

Home health agency certification: CCN 757102

Legal name
THE LAKES HOME HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 10, 2022
Last certification
Sep 29, 2022
Organization structure
CorporationProprietary
Incorporated
Oct 8, 2018 in CA
Enrollment address
14140 Ventura Blvd
Ste 204
Sherman Oaks, CA 91423-2750

Care Compare: Home health agency

Medicare Care Compare
Listed as
The Lakes Home Health Services, Inc.CCN 757102
Overall star rating
1 of 5
Ownership
-
Certified
Oct 10, 2022
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2182098The Lakes Home Health Services, Inc14140 Ventura Blvd Suite 204, Sherman Oaks, CA 91423Certificate of waiverApr 14, 2028

National Provider Directory

National Provider Directory

Locations

2435 Professional Dr
Ste A
Santa Rosa, CA 95403
Phone (707) 575-3590

14140 Ventura Blvd
Ste 204
Sherman Oaks, CA 91423
Phone (818) 208-9276

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Oscar Martinez Individual W-2 Managing EmployeeAdministrator Oct 8, 2018 50%
Operational/Managerial ControlAdministrator Oct 8, 2018 50%
Jason Wong Individual 5% Or Greater Direct Ownership InterestOwner Oct 8, 2018 50%
Corporate OfficerOwner/VP Oct 8, 2018 50%
Corporate DirectorOwner/VP Oct 8, 2018 50%
W-2 Managing EmployeeOwner/VP Oct 8, 2018 50%
Operational/Managerial ControlOwner/VP Oct 8, 2018 50%
Dhia Anne Napolee M Aaronson Individual Operational/Managerial ControlDirector of Patient Care Services Jan 1, 2025
Hibest Essayas Individual 5% Or Greater Direct Ownership InterestOwner Oct 8, 2018 50%
Corporate OfficerOwner/Ceo/President Oct 8, 2018 50%
Corporate DirectorOwner/Ceo/President Oct 8, 2018 50%
W-2 Managing EmployeeOwner/Ceo/President Oct 8, 2018 50%
Operational/Managerial ControlOwner/Ceo/President Oct 8, 2018 50%

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1386104669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14140 VENTURA BLVD STE 204",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232750",
            "telephone_number": "833-473-1490",
            "fax_number": "855-832-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14140 VENTURA BLVD STE 204",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232750",
            "telephone_number": "818-208-9276",
            "fax_number": "855-832-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LAKES HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-22",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "833-473-1490"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.