Home Care Services Lakeshore, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HOME CARE SERVICES LAKESHORE, LLC

Practice address

800 E Ellis Rd Ste 534
Norton Shores, MI 49441-5622

Phone

(616) 430-8744

Fax

(616) 239-3001

NPI assigned

Jan 28, 2019

Organization subpart

No

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

Authorized official

Name

Jeremy Fellows

Title

Member

Phone

(616) 328-6680

Specialties & licenses 2

Addresses

Other names 1

• FirstLight Lakeshore Doing business as

Locations

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1508320276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E ELLIS RD STE 534",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494415622",
            "telephone_number": "616-430-8744",
            "fax_number": "616-239-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E ELLIS RD STE 534",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494415622",
            "telephone_number": "616-430-8744",
            "fax_number": "616-239-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE SERVICES LAKESHORE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-28",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "FELLOWS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "616-328-6680"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FirstLight Lakeshore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Krista Joy Hillman, DO
• Craig R Hoekzema, MD
• Alysia R Hogan Kinning, MD
• Michelle Renee Holt, COTA
• Sara Staupe Holzgen, D.O.
• Danielle Suzanne Hopwood, LMSW
• Rebecca Lynn Howell
• Rebecca A Hudson, LMT
• Megan Kathleen Huettner, DPT
• Madison Hurtubise, MA, LBA, BCBA

• Home Health Agency in Norton Shores, MI
• Providers in Norton Shores, 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 Jul 11, 2023; 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.