NPIMap

Organization Active NPI

Lakeshore Geriatric Care Group

  • Adult Day Care Clinic/Center
  • Mandeville, LA
National Provider Identifier
1962845040
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
2203781570 Issued in LA
Legal business name
LAKESHORE GERIATRIC CARE GROUP
Practice address
829 Asbury Dr Ste 3
Mandeville, LA 70471-6512
Phone
(985) 778-0736
NPI assigned
Apr 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Authorized official

Name
Mr. Chris Joseph Lopez
Title
Member
Phone
(985) 960-0646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 2203781570 LA Primary

Addresses

Primary practice location

829 Asbury Dr Ste 3
Mandeville, LA 70471-6512

Mailing address

829 Asbury Dr Ste 3
Mandeville, LA 70471-6512
Phone (985) 778-0736

Other names 1

  • Lakeshore Adult Day Health Care Doing business as

National Provider Directory

National Provider Directory

Locations

829 Asbury Dr
Ste 3
Mandeville, LA 70471
Phone (985) 778-0736

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1962845040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 ASBURY DR STE 3",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704716512",
            "telephone_number": "985-778-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 ASBURY DR STE 3",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704716512",
            "telephone_number": "985-778-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE GERIATRIC CARE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "985-960-0646",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "LA",
            "license": "2203781570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeshore Adult Day Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.