Lakes Homes and Program Development, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

338509 Issued in MN

Legal business name

LAKES HOMES AND PROGRAM DEVELOPMENT, INC.

Doing business as

West Home

Practice address

1118 West Ave
Detroit Lakes, MN 56501-3210

Phone

(218) 847-5642

Fax

(218) 847-7176

NPI assigned

Jan 25, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Thomas R Reiffenberger

Title

Executive Administrator

Phone

(218) 847-2785

Specialties & licenses 1

Addresses

Other names 1

• West Home Doing business as

Locations

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1922285576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1355",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565021355",
            "telephone_number": "218-847-5642",
            "fax_number": "218-847-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 WEST AVE",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565013210",
            "telephone_number": "218-847-5642",
            "fax_number": "218-847-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES HOMES AND PROGRAM DEVELOPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "REIFFENBERGER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "218-847-2785",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MN",
            "license": "338509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lake Region Therapy Services Inc
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• Lakes Country Healthcare P.L.L.C.
• Lakes Crisis & Resource Center
• Lakes Medi-Van Inc.
• Lakes Vision, PC
• Lola S Lalonde
• A. Douglas Landers, MD
• Alyson Rose Larson, PHARMD

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Detroit Lakes, MN
• Providers in Detroit Lakes, MN by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.