Lakeside Quality Home Health Care, Inc.
Organization Active NPI Home Health Agency · Pahokee, FL
NPI 1720179070 · NPPES record last updated Jan 7, 2010
Key facts
- NPI
- 1720179070
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 299992191 (FL)
- Legal business name
- LAKESIDE QUALITY HOME HEALTH CARE, INC.
- Practice address
- 485 West Main St,
Suite a
Pahokee, FL 33476-2405 - Phone
- (561) 924-7675
- Fax
- (561) 924-7677
- NPI assigned
- Sep 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Natalia M Roque
- Title
- Chief Financial Officer
- Phone
- (561) 924-7675
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Lakeside Quality HH Care
Locations
485 W Main St
Ste A
Pahokee, FL 33476
Phone (561) 924-7675
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 299992191 | FL | Yes |
Addresses
Primary practice location
485 West Main St,
Suite a
Pahokee, FL 33476-2405
Mailing address
485 West Main St,
Suite a
Pahokee, FL 33476-2405
Phone (561) 924-7675
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 651221600 | Medicaid | FL |
Other providers in Pahokee, FL
- Devore Jenkins
- Jones Non-Emergency Transportation Services, Inc.
- Theresa Burnam Jones
- Lake Okeechobee Alf, LLC
- Lakeside Quality Home Health Care Inc
- Maria J Lara-Margarito
- Berline Lima
- Love'S Restoration Center LLC
- Loves Restoration Center LLC
- Loving Homecare Touch LLC
All providers in Pahokee, FL · Home Health Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.