Organization Active NPI

Lakeland Health Care Service Inc.

  • Home Health Agency
  • Hammond, LA
National Provider Identifier
1801984190
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1031 Issued in LA
Legal business name
LAKELAND HEALTH CARE SERVICE INC.
Practice address
1126 Commercial Dr
Suite 2
Hammond, LA 70403-5972
Phone
(985) 542-3131
Fax
(985) 542-3161
NPI assigned
Oct 11, 2006
Last updated
Jun 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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

Authorized official

Name
Mr. Mark Allen Morad
Title
Ceo
Phone
(504) 891-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1031 LA Primary

Addresses

Primary practice location

1126 Commercial Dr
Suite 2
Hammond, LA 70403-5972

Mailing address

PO Box 5610
Slidell, LA 70469-5610
Phone (504) 891-8100

Other identifiers 2

IdentifierTypeStateIssuer
1406759MedicaidLA
1031OtherLASTATE LICENSE

Other names 1

  • LAKELAND HEALTH CARE SERVICE INC. Former legal business name

National Provider Directory

National Provider Directory

Locations

1126 Commercial Dr
Ste 3
Hammond, LA 70403
Phone (985) 542-3131

1206 J W Davis Dr
Ste 109
Hammond, LA 70403
Phone (504) 891-8100

105 Medical Center Dr
Bldg 2
Slidell, LA 70461
Phone (985) 781-7117

2101 Sgt Alfred Dr
Ste B
Slidell, LA 70458
Phone (985) 781-8847

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244073600000",
    "number": "1801984190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5610",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704695610",
            "telephone_number": "504-891-8100",
            "fax_number": "504-891-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 COMMERCIAL DR",
            "address_2": "SUITE 2",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035972",
            "telephone_number": "985-542-3131",
            "fax_number": "985-542-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND HEALTH CARE SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2009-06-04",
        "status": "A",
        "authorized_official_last_name": "MORAD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-891-8100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "1031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1406759",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1031",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKELAND HEALTH CARE SERVICE INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.