LAKESHORE PROFESSIONAL LLC (NPI# 1487998829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487998829 |
Entity Type | Organization |
Organization Name | LAKESHORE PROFESSIONAL LLC |
Practice Address |
3375 Merriam St Suite 202 Muskegon MI 49444-3173 |
Practice Telephone | 2315714179 |
Practice Fax Number | 2317200501 |
Mailing Telephone | 2315714179 |
Mailing Fax Number | 2317200501 |
Enumeration Date | 2012-11-26 |
Last Update Date | 2012-11-26 |
Authorized Official Name | TANYA THOMAS (OWNER) |
Authorized Official Telephone | 2315714179 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251E00000X | Home Health | Agencies |
Street Address |
3375 MERRIAM ST SUITE 202 |
City | MUSKEGON |
State | MI |
Zip Code | 49444-3173 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093050593 | Jodi Marie Mcclain | Massage Therapist | 3375 Merriam St, Ste. 208, Muskegon, MI 49444-3173 | 2012-12-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073084349 | Cathy Forrest, Ma, LLP Plc | Psychologist | 255 Seminole Road, Suite-205, Muskegon, MI 49444 | 2018-12-16 |
1831687276 | Sarah J Weiden | Massage Therapist | 1040 E Sternberg Rd, Muskegon, MI 49444 | 2018-04-30 |
1184131500 | Hatem M Gelani Sr. | Dentist | 1725 E Sherman Blvd, Muskegon, MI 49444 | 2018-01-08 |
1497123673 | Rite Aid | Pharmacist | 2213 E Hile Road, Muskegon, MI 49444 | 2015-09-04 |
1689077075 | Rosa Carpenter-parker | Counselor | 445 East Sherman, Muskegon, MI 49444 | 2014-09-30 |
1417373036 | Smile Center Pllc | Dentist | 3500 Park Street, Smile Center Pllc, Muskegon, MI 49444 | 2014-03-06 |
1134460439 | Adam L Powell | Physical Medicine & Rehabilitation | 1675 E Mount Garfield Rd, Muskegon, MI 49444 | 2013-03-12 |
1972847135 | Kristen Haugh | Physical Therapist | 5251 Harvey St Ste 100, Norton Shores, MI 49444 | 2012-11-12 |
1912261694 | Brandon D Freel | Obstetrics & Gynecology | 6401 Prairie St Ste 2100, Norton Shores, MI 49444 | 2012-06-27 |
1437434487 | Amy Stegall | Pharmacist | 1171 E Sherman, Norton Shores, MI 49444 | 2011-10-20 |
Find all providers in zip 49444 |
Taxonomy Code | 251E00000X |
Grouping | Agencies |
Classification | Home Health |
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316598253 | Melissa Hilton | Home Health | 2370 E Hile Rd, Muskegon, MI 49444-4408 | 2019-09-23 |
1477070746 | Paula Jean Rader | Home Health | 4224 E Laketon Ave, Muskegon, MI 49442-4742 | 2017-08-27 |
1932631124 | Ascension Home Care, LLC | Home Health | 845 Oakridge Rd, Muskegon, MI 49441-4023 | 2017-03-28 |
1376943357 | West Michigan Helping Hand Home Health Care Services LLC | Home Health | 1657 S Getty St, Suite 10, Muskegon, MI 49442-5872 | 2014-08-27 |
1215292529 | Angel Wings Home Care Services LLC | Home Health | 3355 Merriam St Ste 103, Muskegon, MI 49444-3155 | 2012-07-12 |
1871708586 | Access Home Care, Inc. | Home Health | 4265 Grand Haven Rd, Suite 203, Muskegon, MI 49441-5546 | 2007-05-14 |
1285846915 | Helpmates Living Assistants, Inc | Home Health | 1845 Leahy St, Muskegon, MI 49442-5651 | 2007-05-04 |
1518189877 | Lakeshore Medical & Home Health Supply Corporation | Home Health | 5664 Richmond Ave, Muskegon, MI 49442-3160 | 2007-05-03 |
1609098060 | Healthy Focus | Home Health | 892 W Broadway Ave, Muskegon, MI 49441-3578 | 2007-05-03 |
1558582809 | Nursing Care Options, LLC | Home Health | 1865 Henry St Ste 3, Muskegon, MI 49441-2995 | 2007-05-02 |
Find all providers in MUSKEGON |
Please comment or provide details below to improve the information on LAKESHORE PROFESSIONAL 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.