Lakeside Health Homecare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LAKESIDE HEALTH HOMECARE LLC

Practice address

229 Irving Ave N Unit 103
Minneapolis, MN 55405-5502

Phone

(612) 840-9273

NPI assigned

Feb 21, 2025

Organization subpart

No

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

Authorized official

Name

Hassan HamzaNPI 1952142317

Title

Owner

Phone

(612) 840-9273

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Hassan Hamza

  • Nursing Home Administrator
  • Minneapolis, MN
  • NPI 1952142317
  NPD Authorized official

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1750187423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1022",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553370022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 IRVING AVE N UNIT 103",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554055502",
            "telephone_number": "612-840-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE HEALTH HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "HAMZA",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-840-9273"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakes Medical Equipment Inc.
• Lakes Wellness Center LLC
• Lakeshore Care
• Lakeshore Community Services
• Lakeshore Dental
• Lakeside Mental Wellness Inc
• Jacalyn Laketa, PHARM. D.
• Sharada Anne Lakhan, PSYD
• Shan Samir Lakhani
• Anna Louise Lakin, SLP

• Home Health Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.