Organization Active NPI

Lakeshore Home Health Services, LLC

  • Home Health Agency
  • Saint Clair Shores, MI
National Provider Identifier
1710277074
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LAKESHORE HOME HEALTH SERVICES, LLC
Practice address
23747 Glenbrook St
Saint Clair Shores, MI 48082-2505
Phone
(586) 904-1399
Fax
(586) 415-6580
NPI assigned
Apr 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Authorized official

Name
Cynthia Molnar
Title
Owner
Phone
(586) 904-1399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

23747 Glenbrook St
Saint Clair Shores, MI 48082-2505

Mailing address

23747 Glenbrook St
Saint Clair Shores, MI 48082-2505
Phone (586) 904-1399

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1710277074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23747 GLENBROOK ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480822505",
            "telephone_number": "586-904-1399",
            "fax_number": "586-415-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23747 GLENBROOK ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480822505",
            "telephone_number": "586-904-1399",
            "fax_number": "586-415-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE HOME HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "MOLNAR",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-904-1399"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.