Organization Active NPI

Lakeside Quality Home Health Care, Inc.

  • Home Health Agency
  • Pahokee, FL
National Provider Identifier
1720179070
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299992191 Issued in 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
Last updated
Jan 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Authorized official

Name
Ms. Natalia M Roque
Title
Chief Financial Officer
Phone
(561) 924-7675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299992191 FL Primary

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

National Provider Directory

National Provider Directory
Tax ID family
Lakeside Quality HH Care2 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.

Locations

485 W Main St
Ste A
Pahokee, FL 33476
Phone (561) 924-7675

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1720179070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 WEST MAIN ST,",
            "address_2": "SUITE A",
            "city": "PAHOKEE",
            "state": "FL",
            "postal_code": "334762405",
            "telephone_number": "561-924-7675",
            "fax_number": "561-924-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 WEST MAIN ST,",
            "address_2": "SUITE A",
            "city": "PAHOKEE",
            "state": "FL",
            "postal_code": "334762405",
            "telephone_number": "561-924-7675",
            "fax_number": "561-924-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE QUALITY HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "ROQUE",
        "authorized_official_first_name": "NATALIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "561-924-7675",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahokee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.