Lakecrest Care LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

LAKECREST CARE LLC

Practice address

24523 Forest Canopy Dr
Katy, TX 77493-1886

Phone

(973) 454-1952

NPI assigned

Sep 11, 2018

Organization subpart

No

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

Authorized official

Name

Olajumoke Olayemi

Title

Owner

Phone

(973) 454-1952

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1477036937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24523 FOREST CANOPY DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774931886",
            "telephone_number": "973-454-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24523 FOREST CANOPY DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774931886",
            "telephone_number": "973-454-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKECREST CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "OLAYEMI",
        "authorized_official_first_name": "OLAJUMOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-454-1952"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David John Laing, D.D.S.
• Aaron Marcus Laird, DDS
• Tiffany Laitkep
• Micah Lakas
• Kyla Lake
• Amanda Lam, DDS
• Amy Lam, PT, DPT
• Andy Lam
• Brian Lam, MD
• Nhu Thi Lam

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Katy, TX
• Providers in Katy, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.