Organization Active NPI

Lakes Area Management, LLC

Doing business as HomeCare Doctors of America-Lakes Area

  • Gerontology Nurse Practitioner
  • Hemphill, TX
National Provider Identifier
1992918320
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
611397 Issued in TX
Legal business name
LAKES AREA MANAGEMENT, LLC
Doing business as
HomeCare Doctors of America-Lakes Area
Practice address
1865 Worth St
Hemphill, TX 75948-7201
Phone
(409) 787-1945
Fax
(409) 787-4593
NPI assigned
May 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael J Packard
Title
Vice President
Phone
(409) 787-1945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 611397 TX Primary

Addresses

Primary practice location

1865 Worth St
Hemphill, TX 75948-7201

Mailing address

1865 Worth St
Hemphill, TX 75948-7201
Phone (409) 787-1945

Other names 1

  • HomeCare Doctors of America-Lakes Area Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992918320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 WORTH ST",
            "city": "HEMPHILL",
            "state": "TX",
            "postal_code": "759487201",
            "telephone_number": "409-787-1945",
            "fax_number": "409-787-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 WORTH ST",
            "city": "HEMPHILL",
            "state": "TX",
            "postal_code": "759487201",
            "telephone_number": "409-787-1945",
            "fax_number": "409-787-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES AREA MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PACKARD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "409-787-1945",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "611397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HomeCare Doctors of America-Lakes Area",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hemphill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.