Organization Active NPI

Lakeshore Home Visiting Physicians

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1831818558
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LAKESHORE HOME VISITING PHYSICIANS
Practice address
5232 N Sheridan Rd
Chicago, IL 60640-2513
Phone
(312) 983-0583
NPI assigned
Aug 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Authorized official

Name
Arnette McKenzie
Title
Owner
Phone
(312) 983-0583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5232 N Sheridan Rd
Chicago, IL 60640-2513

Mailing address

5232 N Sheridan Rd
Chicago, IL 60640-2513
Phone (312) 983-0583

National Provider Directory

National Provider Directory
Tax ID family
Lakeshore Home Visiting Physicians2 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.

NPI Registry JSON

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1831818558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5232 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402513",
            "telephone_number": "312-983-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5232 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402513",
            "telephone_number": "312-983-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE HOME VISITING PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "ARNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-983-0583"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.