Lakeside Healthcare

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LAKESIDE HEALTHCARE

Practice address

1530 SSW Loop 323
Suite 116
Tyler, TX 75701-2562

Phone

(903) 335-3954

NPI assigned

Jul 30, 2015

Last updated

Jul 30, 2015By 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

Lindsey Watkins

Title

Owner

Phone

(903) 335-3954

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1639555782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 SSW LOOP 323",
            "address_2": "SUITE 116",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012562",
            "telephone_number": "903-335-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 SSW LOOP 323",
            "address_2": "SUITE 116",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012562",
            "telephone_number": "903-335-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-335-3954"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Austin Lahourcade, M.D.
• Hoang Lai
• Jason Laine, CNP
• Ashley Laird, DDS
• Kim Marie Laird, ATP, PTA
• David Leroy Lakey, MD
• Jonathan Lall
• Gregory Lamay, NRP
• Scott Joseph Lamb, M.D.
• Jonathan Lambach, BCBA

• Home Health Agency in Tyler, TX
• Providers in Tyler, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.