LAKELAND HOME PROGRAM LLC


Address: 209 Mar Lyn Dr, Brandon, MS 39042
Phone: 6015910053

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).

Provider Overview

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.

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Fresenius Medical Care Dialysis Services of Rankin County - Brandon Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 209 MAR LYN DR
City BRANDON
State MS
Zip Code 39042

Providers in the same zip code

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 Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City BRANDON
Zip Code 39042

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Dataset Information

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.

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