Lakeshore Community Outreach Incorporation

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

LAKESHORE COMMUNITY OUTREACH INCORPORATION

Practice address

730 Clinton St
Gary, IN 46406-1453

Phone

(219) 588-4511

Fax

(219) 898-2045

NPI assigned

Mar 23, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Gladys Frye

Title

Chief Executive Officer

Phone

(219) 588-4511

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1649632191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 CLINTON ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464061453",
            "telephone_number": "219-588-4511",
            "fax_number": "219-898-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 CLINTON ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464061453",
            "telephone_number": "219-588-4511",
            "fax_number": "219-898-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE COMMUNITY OUTREACH INCORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "FRYE",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "219-588-4511",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Ann Lackey, REGISTERED NURSE
• Lake County Hospitalists, LLC
• Lake County Walker Medical
• Lake Ridge Fire Protection District
• Lake Ridge Schools
• Lakeshore Psychiatry & Wellness
• Lashawn D Freeman DPM SC
• Mechelle Latiker
• Carlos A Laurie, MSMFT
• Oluseye Lawal

• Non-emergency Medical Transport (VAN) in Gary, IN
• Providers in Gary, IN by specialty
• Non-emergency Medical Transport (VAN) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.