Lakeshore Home Health Care Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LAKESHORE HOME HEALTH CARE SERVICES, INC.

Practice address

5571 East Apple Ave
Muskegon, MI 49442-3071

Phone

(231) 728-4353

Fax

(231) 728-4370

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Sheryl Dotson

Title

Ceo.Owner

Phone

(231) 728-2527

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Tender Loving Care Staffing Doing business as

Tax ID family

Lakeshore Home Health Care Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lakeshore Home Health Care Services, Inc.

  • Home Health Agency
  • Muskegon, MI
  • NPI 1588416200
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angila Marie McEwen, RN

  • Home Health Registered Nurse
  • Wyoming, MI
  • NPI 1609376755
  NPD

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1669596284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5571 EAST APPLE AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494423071",
            "telephone_number": "231-728-4353",
            "fax_number": "231-728-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5571 EAST APPLE AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494423071",
            "telephone_number": "231-728-4353",
            "fax_number": "231-728-4370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1853 R W Berends Dr SW",
            "address_purpose": "LOCATION",
            "city": "Wyoming",
            "state": "MI",
            "postal_code": "495194955",
            "country_code": "US",
            "telephone_number": "616-534-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAKESHORE HOME HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DOTSON",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "CEO.OWNER",
        "authorized_official_telephone_number": "231-728-2527"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4364218",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4801242",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4801251",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tender Loving Care Staffing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tender Loving Care Staffing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lake Michigan ENT PLLC
• Lake Michigan Observation Services PLLC
• Lake-Shore Lawn and More LLC
• Lakeshore Anesthesia Services, PC
• Lakeshore Home Health Care Services, Inc.
• Lakeshore Imaging Consultants, PLC
• Lakeshore Massage Therapy Inc
• Lakeshore Medical & Home Health Supply Corporation
• Lakeshore Professional LLC
• Lakeshore Psychology, PLLC

• Home Health Agency in Muskegon, MI
• Providers in Muskegon, 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 21, 2022; 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.