Lake Superior Home Health Care L.L.C.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LAKE SUPERIOR HOME HEALTH CARE L.L.C.

Doing business as

home health services

Practice address

2490 Lee Blvd Ste 216
Cleveland Heights, OH 44118-1269

Phone

(614) 717-5667

NPI assigned

Sep 29, 2021

Organization subpart

No

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

Authorized official

Name

Hayat Fatah

Title

Owner

Phone

(614) 717-5667

Specialties & licenses 1

Addresses

Other names 1

• home health services Doing business as

Locations

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1588336465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 LEE BLVD STE 216",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181269",
            "telephone_number": "614-717-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 LEE BLVD STE 216",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181269",
            "telephone_number": "614-717-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SUPERIOR HOME HEALTH CARE L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "FATAH",
        "authorized_official_first_name": "HAYAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-717-5667"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "home health services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Elizabeth Kumher
• Kathleen Elizabeth Kwiatt
• Terrica Kyle
• Anna Lafond
• Lake and Sky Integrated Services
• Lakefront Transportation Inc.
• Eric Wayne Lakes
• Sarah Lamarca, CRNA
• Philip H. Lamb, DDS
• Barbara Lambert

• Home Health Agency in Cleveland Heights, OH
• Providers in Cleveland Heights, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.