Lakeshore Care

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

LAKESHORE CARE

Practice address

918 W Lake St
Minneapolis, MN 55408-2857

Phone

(651) 352-0147

NPI assigned

Mar 12, 2024

Organization subpart

No

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

Authorized official

Name

Inactive Inactive

Title

Owner

Phone

(612) 333-1233

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1831957943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 W LAKE ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 W LAKE ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082857",
            "telephone_number": "651-352-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-12",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "INACTIVE",
        "authorized_official_first_name": "INACTIVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-333-1233"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakes Counseling Services LLC
• Lakes Holistic Care LLC
• Lakes Homecare LLC
• Lakes Medical Equipment Inc. (None)
• Lakes Wellness Center LLC
• Lakeshore Community Services (Horizon Healthcare)
• Lakeshore Dental
• Lakeside Health Homecare LLC
• Lakeside Mental Wellness Inc
• Jacalyn Laketa, PHARM. D.

• Nursing Facility/Intermediate Care Facility in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Nursing Facility/Intermediate Care Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.