Lakeshore Home Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LAKESHORE HOME CARE, INC.

Practice address

614 Romence Rd
Suite 250
Portage, MI 49024-3613

Phone

(269) 343-5555

Fax

(269) 343-5599

NPI assigned

Jul 10, 2010

Last updated

Jun 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hardip Jadav

Title

Administrator

Phone

(517) 763-1300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1447562103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 ROMENCE RD",
            "address_2": "SUITE 250",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490243613",
            "telephone_number": "269-343-5555",
            "fax_number": "269-343-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 ROMENCE RD",
            "address_2": "SUITE 250",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490243613",
            "telephone_number": "269-343-5555",
            "fax_number": "269-343-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-10",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "JADAV",
        "authorized_official_first_name": "HARDIP",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "517-763-1300"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Lacelle
• Melissa Elizabeth Lacharite, LPC
• Ronald Ken Ladouce, NP
• Corbett Lafrance, AT, ATC
• Corey J. Lager, MD
• Matthew Lam
• Alice K Lambert
• Jennifer Lancaster, PTA
• Brian Christopher Lane, D.C.
• Maddison Laning

• Home Health Agency in Portage, MI
• Providers in Portage, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.