NPIMap

Organization Active NPI

Lake Country Home Care LLC

  • In Home Supportive Care Agency
  • New York Mills, MN
National Provider Identifier
1811513674
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LAKE COUNTRY HOME CARE LLC
Doing business as
Lake Country Home Care LLC
Practice address
201 E Centennial 84 Dr
New York Mills, MN 56567-4331
Phone
(218) 385-3422
Fax
(218) 385-3506
NPI assigned
Jun 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Micaela Koehler
Title
Owner/Manager
Phone
(218) 385-3422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

201 E Centennial 84 Dr
New York Mills, MN 56567-4331

Mailing address

201 E Centennial 84 Dr
New York Mills, MN 56567-4331
Phone (218) 385-3422

Other names 1

  • Lake Country Home Care LLC Doing business as

National Provider Directory

National Provider Directory

Locations

95 Miller St
Ste E
New York Mills, MN 56567
Phone (218) 385-3422

201 E Centennial 84 Dr
New York Mills, MN 56567

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1811513674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E CENTENNIAL 84 DR",
            "city": "NEW YORK MILLS",
            "state": "MN",
            "postal_code": "565674331",
            "telephone_number": "218-385-3422",
            "fax_number": "218-385-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E CENTENNIAL 84 DR",
            "city": "NEW YORK MILLS",
            "state": "MN",
            "postal_code": "565674331",
            "telephone_number": "218-385-3422",
            "fax_number": "218-385-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COUNTRY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "KOEHLER",
        "authorized_official_first_name": "MICAELA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "218-385-3422"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Country Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lake Country Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York Mills, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.