Lakeshore Hospice Acquisition, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

2203781977 Issued in LA

Legal business name

LAKESHORE HOSPICE ACQUISITION, LLC

Doing business as

Lakeshore Hospice

Practice address

15781 Professional PLZ
Hammond, LA 70403-1452

Phone

(985) 549-1877

Fax

(985) 375-1192

NPI assigned

Mar 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Chris Joseph Lopez

Title

Member/Administrator

Phone

(985) 549-1877

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lakeshore Hospice Doing business as

Locations

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419379200000",
    "number": "1508833617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15781 PROFESSIONAL PLZ",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031452",
            "telephone_number": "985-549-1877",
            "fax_number": "985-375-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15781 PROFESSIONAL PLZ",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031452",
            "telephone_number": "985-549-1877",
            "fax_number": "985-375-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE HOSPICE ACQUISITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2014-12-24",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MEMBER/ADMINISTRATOR",
        "authorized_official_telephone_number": "985-549-1877",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": "2203781977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "19-1588",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1580970",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeshore Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jared Lajaunie
• Brad M Lake, M.D.
• Lakeland Health Care Home and Community Based Waiver
• Lakeland Health Care Home and Community Based Waiver
• Lakeland Health Care Service Inc.
• Lakeside Hospice, LLC (VitalCaring Group)
• Chelsee Lamarca, DC
• Laura C Lambert, RSW, MSW STUDENT
• Rhonda Jenkins Lambert
• Denise Elizabeth Landry

• Community Based Hospice Care Agency in Hammond, LA
• Providers in Hammond, LA by specialty
• Community Based Hospice Care Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2014; 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.