LAKELAND HOME PROGRAM LLC (NPI# 1184146789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184146789 |
Entity Type | Organization |
Organization Name | LAKELAND HOME PROGRAM LLC |
Other Organization Name | FRESENIUS MEDICAL CARE DIALYSIS SERVICES OF RANKIN COUNTY - BRANDON |
Practice Address |
209 Mar Lyn Dr Brandon MS 39042 |
Mailing Address |
209 Mar Lyn Dr Brandon MS 39042-2483 |
Practice Telephone | 6015910053 |
Enumeration Date | 2017-07-14 |
Last Update Date | 2018-09-04 |
Authorized Official Name | MARK FAWCETT (SENIOR VICE PRESIDENT & TREASURER) |
Authorized Official Telephone | 7816999000 |
Is Organization Subpart | Y |
Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Fresenius Medical Care Dialysis Services of Rankin County - Brandon | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497193023 | Lakeland Home Program LLC | Clinic/Center | 1010 Lakeland Square Ext Ste A, Flowood, MS 39232-7607 | 2013-06-05 |
1396267878 | Lakeland Home Program LLC | Clinic/Center | 105 Johnston Pl, Clinton, MS 39056-5911 | 2017-07-17 |
Street Address |
209 MAR LYN DR |
City | BRANDON |
State | MS |
Zip Code | 39042 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740821529 | Claudia Francis Jones | Technician | 1008 Greenfield Circle, Brandon, MS 39042 | 2019-10-03 |
1194294546 | Allen Keith Johnson Jr. | Counselor | 1700 West Government Street Building B. Suite O., Brandon, MS 39042 | 2018-11-15 |
1689167462 | Regional Home Care and Infusions, Inc. | Registered Nurse | 302 Town Square, Suite 110, Brandon, MS 39042 | 2018-06-07 |
1013419563 | Brandon Family Chiropractic LLC | Chiropractor | 1350 West Government Street Suite A1, Brandon, MS 39042 | 2018-03-01 |
1104275510 | Matthew Logue | Community Health Worker | 2009 Mossy Cove, Brandon, MS 39042 | 2016-06-07 |
1932569704 | Haley Wilson | Chiropractor | 1350 W Government St Ste A1, Brandon, MS 39042 | 2016-03-07 |
1548698608 | St Dominic Medical Associates LLC | Family Medicine | 1297 West Government Street, Brandon, MS 39042 | 2013-10-28 |
1760825434 | Linda J. Bridges | Respiratory Therapist, Certified | 330 Rankin Road, Brandon, UNITED STATES 39042 | 2013-04-12 |
1861739922 | Georgia Christine Shirley | Nurse Practitioner | 2008 Brookstone Place, Brandon, MS 39042 | 2013-01-09 |
1881943900 | Kennedy Chiropractic Clinic Inc | Chiropractor | 393 Crossgates Blvd, Suite B, Brandon, MS 39042 | 2012-09-05 |
Find all providers in zip 39042 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033221809 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 141 Gateway Dr, Brandon, MS 39042-3020 | 2006-08-31 |
1881706638 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 514 Medical Oaks Ave, Brandon, FL 33511-5961 | 2006-08-31 |
1790723831 | Isd Brandon LLC | Clinic/Center | 101 Christian Dr, Brandon, MS 39042-2678 | 2006-06-02 |
1679511729 | Dsi South Tampa LLC | Clinic/Center | 731 W Lumsden Rd, Brandon, FL 33511-6261 | 2006-06-02 |
1144297631 | Dva Healthcare Renal Care Inc | Clinic/Center | 114 E Brandon Blvd, Brandon, FL 33511-5219 | 2006-03-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760092878 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 5722 I-55 N Frontage Road, Jackson, MS 39211 | 2020-08-04 |
1952910457 | Fresenius Medical Care East Mccomb Dialysis, LLC | Clinic/Center | 103 Business Center Drive, Mccomb, MS 39648 | 2020-07-30 |
1013535780 | Fresenius Medical Care Meridian Home, LLC | Clinic/Center | 2400 15th St, Meridian, MS 39301-3951 | 2020-07-09 |
1922631837 | Fresenius Medical Care Dogwood, LLC | Clinic/Center | 205b Belle Meade Pt, Flowood, MS 39232-3311 | 2020-02-19 |
1669944120 | Fresenius Medical Care Adams County Home, LLC | Clinic/Center | 151 Jefferson Davis Blvd Ste D, Natchez, MS 39120-5140 | 2018-12-21 |
1205334513 | Renal Care Group Tupelo, LLC | Clinic/Center | 1031 S Madison St, Tupelo, MS 38801-6309 | 2018-02-01 |
1801310768 | Hattiesburg Clinic, Pa | Clinic/Center | 5909 Hwy 49 S, Suite 14, Hattiesburg, MS 39402-2860 | 2017-08-01 |
1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
1710411707 | Rcg Mississippi, Inc. | Clinic/Center | 1100 Central Drive, Philadelphia, MS 39350 | 2017-04-17 |
1417481755 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 656 N State St, Jackson, MS 39202-3303 | 2017-04-13 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on LAKELAND HOME PROGRAM LLC.
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.