LAKESHORE SENIOR SERVICES LLC (NPI# 1063057800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063057800 |
| Entity Type | Organization |
| Organization Name | LAKESHORE SENIOR SERVICES LLC |
| Practice Address |
400 E Randolph St Apt 3515 Chicago IL 60601-7308 |
| Practice Telephone | 3126187001 |
| Mailing Telephone | 3126187001 |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2019-11-15 |
| Authorized Official Name | MR. THOMAS A VOLINI (PRESIDENT) |
| Authorized Official Telephone | 7082674453 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | IDPH | 3001799 | 01 |
| Street Address |
400 E RANDOLPH ST APT 3515 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60601-7308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811527013 | Chicago Center for Advanced Dentistry | Dentist | 222 N Lasalle St 230, Chicago, IL 60601 | 2020-01-16 |
| 1689131146 | Nicole Lauren Rothman | Social Worker | 155 N Michigan Ave Ste 500a, Chicago, IL 60601 | 2019-02-20 |
| 1861976532 | Mhn Aco, LLC | Case Management | 180 N. Stetson Avenue, Suite 600-1, 180 N. Stetson Avenue, Suite 600-1, Chicago, IL 60601 | 2018-09-19 |
| 1659861409 | Alison Hirshorn LLC | Community/Behavioral Health | 155 N Michigan Ave Ste 603, Chicago, IL 60601 | 2018-05-17 |
| 1427574714 | Nicole Woodcox Bolden | Social Worker | 205 N Michigan Ave Ste 1660, Chicago, IL 60601 | 2017-08-17 |
| 1912431560 | Shannon Keleher | Social Worker | 155 N Michigan Ave Ste 209, Chicago, IL 60601 | 2017-04-19 |
| 1659828630 | Kevin Mcguyer | Physical Therapist | 151 N Michgan Ave, Chicago, IL 60601 | 2016-09-07 |
| 1598116618 | Charles Raymond Culpepper | Counselor | 155 N Michigan Ave Ste 608, Chicago, IL 60601 | 2016-06-30 |
| 1629494042 | Farah Huq | Counselor | 180 N Michigan Ave, Ste 410, Chicago, IL 60601 | 2014-03-10 |
| 1609147628 | Kathleen M Walsh | Social Worker | 155 N Michigan Av, #523, Chicago, IL 60601 | 2012-01-23 |
| Find all providers in zip 60601 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212849 | Ashley Marshall | In Home Supportive Care | 11130 S Longwood Dr Apt 3, Chicago, IL 60643-4049 | 2020-10-14 |
| 1427666510 | Huma Saleem | In Home Supportive Care | 6800 N California Ave Apt 2q, Chicago, IL 60645-4547 | 2020-07-15 |
| 1548878788 | Devoted Homecare Plus LLC | In Home Supportive Care | 2051 W Howard St Ste A, Chicago, IL 60645-2113 | 2020-07-14 |
| 1962026567 | Lyfe Present LLC | In Home Supportive Care | 406 N Ridgeway Ave, Chicago, IL 60624-1230 | 2020-05-31 |
| 1114549680 | Naomi Hayles | In Home Supportive Care | 9356 S Justine St, Chicago, IL 60620-5126 | 2020-05-07 |
| 1952922346 | J&a Caregivers, LLC | In Home Supportive Care | 1165 N Clark St Ste 410, Chicago, IL 60610-7473 | 2020-04-27 |
| 1053946392 | T & M Care LLC | In Home Supportive Care | 7230 S Talman, Apt 4, Chicago, IL 60629 | 2020-03-06 |
| 1215575618 | Heart of Wisdom LLC | In Home Supportive Care | 6859 W Addison St Ste 6, Chicago, IL 60634-3704 | 2019-12-16 |
| 1376194845 | Independence Care of Chicago LLC | In Home Supportive Care | 950 N Michigan Ave Ste 1400, Chicago, IL 60611-4500 | 2019-09-25 |
| 1649823873 | Moments At Home Respite Care and Home Services, LLC. | In Home Supportive Care | 7207 S Indiana Ave, Chicago, IL 60619-1008 | 2019-07-17 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.