LAKESHORE SENIOR CARE LLC (NPI# 1568804169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568804169 |
| Entity Type | Organization |
| Organization Name | LAKESHORE SENIOR CARE LLC |
| Other Organization Name | LAKESHORE SENIOR CARE |
| Practice Address |
320 N 120th Ave Ste 230 Holland MI 49424-2696 |
| Practice Telephone | 6169949900 |
| Mailing Telephone | 6169949900 |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2013-07-24 |
| Authorized Official Name | MR. SCOTT JAMES BOLTHOUSE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6169949900 |
| Is Organization Subpart | Y |
| Parent Organization Name | LAKESHORE LEGACY GROUP FAMILY LIMITED PARTNERSHIP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Lakeshore Senior Care | Doing Business As Name - Organization |
| Street Address |
320 N 120TH AVE STE 230 |
| City | HOLLAND |
| State | MI |
| Zip Code | 49424-2696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194290999 | Anderson Family and Cosmetic Dentistry | Dentist | 453 136th Ave., Holland, MI 49424 | 2018-10-08 |
| 1487139663 | Maria C. Hoekstra Dds, P.C. | Dentist | 1121 Ottawa Beach Road, Suite 100, Holland, MI 49424 | 2018-10-03 |
| 1871024000 | Derek Schaaf | Rehabilitation Practitioner | 13835 Foxtrail Dr., Holland, MI 49424 | 2017-03-21 |
| 1699227397 | Tabitha Margritz | Optometrist | 2279 N Park Drive #910, Holland, MI 49424 | 2016-10-28 |
| 1619373701 | Miller Chiropractic LLC | Chiropractor | 84 East Lakewood Boulevard, Holland, MI 49424 | 2014-11-17 |
| 1891107611 | Nathan B. Poel | Dentist | 1180 Ottawa Beach Rd, Suite E, Holland, MI 49424 | 2014-05-28 |
| 1477990802 | Jeanine Hamilton | Speech-Language Pathologist | 1576 Eb Creek Dr., Holland, MI 49424 | 2013-05-24 |
| 1194062638 | Stefan John Kuipers | Physician Assistant | 3100 Wellness Dr, Holland, MI 49424 | 2013-01-03 |
| 1902155690 | Benjamin Eovaldi | General Practice | 376 Mayfair St., Holland, MI 49424 | 2012-09-10 |
| 1295017929 | Employee Assistance Center Garden | Psychologist | 372 Garden, Holland, MI 49424 | 2011-09-20 |
| Find all providers in zip 49424 | ||||
| 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 |
|---|---|---|---|---|
| 1770869422 | Help With Love Agency | Home Health | 318 Wayne Ct, Holland, PA 18966-2761 | 2011-10-26 |
| 1154534394 | Chase - Edward Inc. | Home Health | 837 Maple Ave, Suite 20, Holland, MI 49423-7145 | 2007-05-07 |
| 1477629780 | Holland Community Hospital | Home Health | 750 E 40th St, Holland, MI 49423-5342 | 2006-11-28 |
| 1245305002 | Anne Grady Day Program | Home Health | 1645 Trade Rd, Holland, OH 43528-8204 | 2006-11-21 |
| 1437268281 | Universal Medical Staffing, Inc. | Home Health | 529 E 16th St, Holland, MI 49423-3993 | 2006-08-29 |
| 1659350403 | R & F Inc. | Home Health | 6228 Merger Dr, Holland, OH 43528-9593 | 2006-01-11 |
| 1821098476 | Atrio Home Health Lakeshore | Home Health | 948 Washington Ave, Holland, MI 49423-5205 | 2005-07-26 |
| 1790272771 | Diverse Home Health Care | Home Health | 729 Lincoln Ave, Holland, MI 49423-5428 | 2018-04-16 |
| 1477063204 | Chrysalis Services, LLC | Home Health | 501 Washington Ave, Holland, MI 49423-4170 | 2017-10-06 |
| 1003347659 | Richtell Home Healthcare Agency,llc | Home Health | 535 Springwood Ln, Holland, OH 43528-7890 | 2017-03-24 |
| Find all providers in HOLLAND | ||||
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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.