Home Care at the Lake, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC2245 Issued in NC

Legal business name

HOME CARE AT THE LAKE, INC

Practice address

470 N Broad St
Suite E
Mooresville, NC 28115-3083

Phone

(704) 662-9911

Fax

(704) 662-9080

NPI assigned

Oct 21, 2006

Organization subpart

No

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

Authorized official

Name

Karen H Smith

Title

President/Home Care Coordinator

Phone

(704) 662-9911

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Home Care at the Lake 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.

• Home Care at the Lake, Inc

  • Home Health Agency
  • Mooresville, NC
  • NPI 1518141340
  NPD tax ID

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1700969177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 N BROAD ST",
            "address_2": "SUITE E",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281153083",
            "telephone_number": "704-662-9911",
            "fax_number": "704-662-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 N BROAD ST",
            "address_2": "SUITE E",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281153083",
            "telephone_number": "704-662-9911",
            "fax_number": "704-662-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE AT THE LAKE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-21",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT/HOME CARE COORDINATOR",
        "authorized_official_telephone_number": "704-662-9911"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600882",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miya Holmes, RBT
• Lauren Holscher, M.S. CCC-SLP
• Elizabeth Grace Holt, MSW
• Marykay Holt, ARNP
• Home Care at the Lake, Inc
• Home Care by Design NC
• Home Medical Systems Inc
• Cody Elizabeth Homistek, D.O.
• Hope Harbor Counseling and Wellness, PLLC
• Horizon Eye Care PA

• Home Health Agency in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.