Lakeshore Professional LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LAKESHORE PROFESSIONAL LLC

Practice address

3375 Merriam St
Suite 202
Muskegon, MI 49444-3173

Phone

(231) 571-4179

Fax

(231) 720-0501

NPI assigned

Nov 26, 2012

Last updated

Nov 26, 2012By 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

Tanya Thomas

Title

Owner

Phone

(231) 571-4179

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1487998829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 MERRIAM ST",
            "address_2": "SUITE 202",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494443173",
            "telephone_number": "231-571-4179",
            "fax_number": "231-720-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 MERRIAM ST",
            "address_2": "SUITE 202",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494443173",
            "telephone_number": "231-571-4179",
            "fax_number": "231-720-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-571-4179"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeshore Home Health Care Services, Inc.
• Lakeshore Home Health Care Services, Inc. (Tender Loving Care Staffing)
• Lakeshore Imaging Consultants, PLC
• Lakeshore Massage Therapy Inc
• Lakeshore Medical & Home Health Supply Corporation
• Lakeshore Psychology, PLLC
• Lakeshore Rehabilitation Center PC (West Michigan Sports Medicine Clinic)
• Lakeshore Speech Associates
• Lakewinds Chiropractic Center PLC
• Amy Lalone, LBSW

• Home Health Agency in Muskegon, MI
• Providers in Muskegon, 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 Nov 26, 2012; 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.