LAKE SHORE MEDICAR, INC. (NPI# 1275733958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275733958 |
| Entity Type | Organization |
| Organization Name | LAKE SHORE MEDICAR, INC. |
| Practice Address |
2640 W Touhy Ave Suite 211 Chicago IL 60645-3198 |
| Practice Telephone | 7739734811 |
| Practice Fax Number | 7739732614 |
| Mailing Telephone | 7739734811 |
| Mailing Fax Number | 7739732614 |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MARIA C PAMATMAT (PRESIDENT) |
| Authorized Official Telephone | 7739734811 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343800000X | Secured Medical Transport (VAN) | =========001 | IL | Transportation Services |
| Y | 343900000X | Non-emergency Medical Transport (VAN) | =========001 | IL | Transportation Services |
| Street Address |
2640 W TOUHY AVE SUITE 211 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60645-3198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538170345 | Great Paragon Health Care Inc. | Home Health | 2640 W Touhy Ave, Ste. 205-206, Chicago, IL 60645-3198 | 2006-08-10 |
| 1891937660 | Medcare Home Health,inc | Home Health | 2640 W Touhy Ave, Lower Level 104, Chicago, IL 60645-3198 | 2009-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306210117 | Brenda Ann Jarred | Massage Therapist | 6510 N Claremont Ave, 3rd Floor, Chicago, IL 60645 | 2015-11-17 |
| 1568850881 | Kathryn A Pusateri | Counselor | 6554 North Rockwell Street, Suite 2, Chicago, IL 60645 | 2015-01-09 |
| 1447671169 | Miriam Belsky | Speech-Language Pathologist | 6524 N Mozart St Apt 3, Chicago, IL 60645 | 2013-12-23 |
| 1972880912 | Harold B Shrifter | Internal Medicine | 6450 N. California Ave., Chicago, IL 60645 | 2011-11-04 |
| 1306159710 | Amy M Carl | Social Worker | 3003 W Touhy, Council for Jewish Elderly, Chicago, IL 60645 | 2010-07-15 |
| 1699919043 | Boguslawa Romanowska | Physical Therapist | 6211 N. Milwaukee, Chicago, IL 60645 | 2009-04-29 |
| 1851539522 | Yoela Tamara Holman | Speech-Language Pathologist | 3056 W. Sherwin Ave., Chicago, IL 60645 | 2009-02-03 |
| 1285884577 | Ingrid Forsberg | Nurse Practitioner | 7510 N Western, Chicago, IL 60645 | 2008-09-24 |
| 1881842581 | S Fatima Md Sc | Internal Medicine | 7133 North Ridge Blvd., Chicago, IL 60645 | 2008-09-05 |
| 1013173467 | A Place for Children | Early Intervention Provider Agency | 2425 W Pratt, Chicago, IL 60645 | 2008-08-05 |
| Find all providers in zip 60645 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336767086 | Tawanna Henry | Non-emergency Medical Transport (VAN) | 1755 E 72nd Pl Apt 2, Chicago, IL 60649-2839 | 2020-07-09 |
| 1801412945 | Genesis Global Transportation LLC | Non-emergency Medical Transport (VAN) | 4655 S Lake Park Ave Apt 320, Chicago, IL 60653-4534 | 2020-06-24 |
| 1295357317 | Tru Hard Money | Non-emergency Medical Transport (VAN) | 8342 S Green St, Chicago, IL 60620-3160 | 2020-05-12 |
| 1588283170 | Hdj Transport Corporation | Non-emergency Medical Transport (VAN) | 823 N Hamlin Ave, Chicago, IL 60651-3825 | 2020-04-13 |
| 1043846058 | Devin Artyse Brown | Non-emergency Medical Transport (VAN) | 7600 S Hoyne Ave, Chicago, IL 60620-5737 | 2020-03-21 |
| 1316572365 | Kyle Joshua Blakely | Non-emergency Medical Transport (VAN) | 6036 S Green St Apt 2, Chicago, IL 60621-2169 | 2020-03-10 |
| 1104451293 | Bojakz Companies | Non-emergency Medical Transport (VAN) | 7326 S Wabash Ave, Chicago, IL 60619-1625 | 2020-03-09 |
| 1043841299 | Glenda Shorter | Non-emergency Medical Transport (VAN) | 4423 S Prairie Ave Apt G, Chicago, IL 60653-3202 | 2020-01-27 |
| 1699315812 | Kjr Depot Inc | Non-emergency Medical Transport (VAN) | 4740 W Fulton St, Chicago, IL 60644-2713 | 2020-01-15 |
| 1720624943 | Bianna Jones | Non-emergency Medical Transport (VAN) | 4637 W Adams St, Chicago, IL 60644-4632 | 2019-11-22 |
| 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.