Lakeland Health Services, LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

LAKELAND HEALTH SERVICES, LLC

Practice address

11840 Foley Blvd NW
Coon Rapids, MN 55448-2210

Phone

(763) 273-3046

NPI assigned

Jun 5, 2023

Organization subpart

No

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

Authorized official

Name

Haydarus Ibrahim

Title

Authorized Agent/Manger

Phone

(763) 273-3046

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1396439261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11840 FOLEY BLVD NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554482210",
            "telephone_number": "763-273-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11840 FOLEY BLVD NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554482210",
            "telephone_number": "763-273-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "HAYDARUS",
        "authorized_official_title_or_position": "AUTHORIZED AGENT/MANGER",
        "authorized_official_telephone_number": "763-273-3046"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David F Labadie, MD
• Lauren Marie Lach, LPCC
• Lynnde Denise Ladoux, CRNA
• Joan R Laes, MD
• Megan E Lahti, LPCC
• Kelli Lakeman
• Nathan Aaron Lam, DPM
• Kathleen A Lamaie, CRNA
• Hannah Lambert, PA-C
• Kerri J Lamberty, PHD, ABPP-CN

• Home Health Aide in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Home Health Aide in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.