LAKESHORE CARE CORP (NPI# 1609202589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609202589 |
| Entity Type | Organization |
| Organization Name | LAKESHORE CARE CORP |
| Practice Address |
8840 Cedar Creek Dr Holton MI 49425-8599 |
| Mailing Address |
304 Madison Ave Se Grand Rapids MI 49503-4618 |
| Practice Telephone | 2318210281 |
| Practice Fax Number | 2318210281 |
| Mailing Telephone | 6164599331 |
| Mailing Fax Number | 6164599331 |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-25 |
| Authorized Official Name | MR. TIMOTHY G ADAMS (PRESIDENT) |
| Authorized Official Telephone | 6168135471 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AM610080832 | MI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 5983515 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619303591 | Lakeshore Care Corp | Assisted Living Facility | 8842 Cedar Creek Dr, Holton, MI 49425-8599 | 2013-09-23 |
| Street Address |
8840 CEDAR CREEK DR |
| City | HOLTON |
| State | MI |
| Zip Code | 49425-8599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043876808 | Moira Monaghan | Social Worker | 6477 Syers Rd, Holton, MI 49425-7508 | 2019-05-16 |
| 1841844016 | Hackley Community Care Center Inc | Clinic/Center | 6477 Syers Rd, Holton, MI 49425-7508 | 2019-07-26 |
| 1922613975 | Hackley Community Care Center Inc | Clinic/Center | 6245 Syers Rd Ste A, Holton, MI 49425-7557 | 2020-09-15 |
| 1053960062 | Madelyn K Eling | Technician | 6020 Holton Whitehall Rd, Holton, MI 49425-8593 | 2019-09-11 |
| 1619303591 | Lakeshore Care Corp | Assisted Living Facility | 8842 Cedar Creek Dr, Holton, MI 49425-8599 | 2013-09-23 |
| 1629466446 | Jaylene Marsh | Recreation Therapist | 4480 Brunswick Rd, Holton, MI 49425-9558 | 2014-12-31 |
| 1942505540 | Janet Carol Smith | Social Worker | 11326 Hemlock St, Holton, MI 49425-9752 | 2011-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613975 | Hackley Community Care Center Inc | Clinic/Center | 6245 Syers Rd Ste A, Holton, MI 49425-7557 | 2020-09-15 |
| 1386254720 | Frances Moore | Social Worker | 9773 W County Road 450 N, Holton, IN 47023-8601 | 2020-07-31 |
| 1053960062 | Madelyn K Eling | Technician | 6020 Holton Whitehall Rd, Holton, MI 49425-8593 | 2019-09-11 |
| 1760034714 | Sgs Connections | Day Training, Developmentally Disabled Services | 832 New Jersey Ave, Holton, KS 66436-1956 | 2019-07-10 |
| 1558923623 | Sgs Connections | Day Training, Developmentally Disabled Services | 513 Vermont Ave, Holton, KS 66436-2035 | 2019-06-28 |
| 1043876808 | Moira Monaghan | Social Worker | 6477 Syers Rd, Holton, MI 49425-7508 | 2019-05-16 |
| 1902304116 | Psychological Health Services, LLC | Psychologist | 626 Nebraska Ave, Holton, KS 66436-1462 | 2018-01-23 |
| 1962923938 | Ryan Smalley | Psychologist | 713 Idaho Ave, Holton, KS 66436-1103 | 2017-06-29 |
| 1154851483 | Stacey Niehues | Optometrist | 121 W 4th St # At, Holton, KS 66436-1701 | 2017-06-19 |
| 1629466446 | Jaylene Marsh | Recreation Therapist | 4480 Brunswick Rd, Holton, MI 49425-9558 | 2014-12-31 |
| Find all providers in HOLTON | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619303591 | Lakeshore Care Corp | Assisted Living Facility | 8842 Cedar Creek Dr, Holton, MI 49425-8599 | 2013-09-23 |
| 1265897805 | Cpf Senior Living - Holton LLC | Assisted Living Facility | 410 Juniper Dr, Holton, KS 66436-1535 | 2015-12-28 |
| 1730337965 | Vintage Park At Holton, LLC | Assisted Living Facility | 410 Juniper Dr, Holton, KS 66436-1535 | 2008-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518567890 | Mcap Holt Opco LLC | Assisted Living Facility | 4300 Keller Rd, Holt, MI 48842-1268 | 2020-10-27 |
| 1457959363 | Baruch Sls, Inc. | Assisted Living Facility | 3191 M 65, Hale, MI 48739-8512 | 2020-10-13 |
| 1215544739 | Baruch Sls, Inc. | Assisted Living Facility | 3100 Wyndham Dr, Flushing, MI 48433-2290 | 2020-09-29 |
| 1730796558 | Baruch Sls, Inc. | Assisted Living Facility | 130 Mary Ann St, Grayling, MI 49738-7037 | 2020-09-25 |
| 1649887472 | Baruch Sls, Inc. | Assisted Living Facility | 300 S Grand Ave, Leland, MI 49654-5052 | 2020-09-25 |
| 1013524834 | Baruch Sls, Inc. | Assisted Living Facility | 2801 Charlevoix Rd, Petoskey, MI 49770-9727 | 2020-09-25 |
| 1346857174 | Baruch Sls, Inc. | Assisted Living Facility | 1311 Southwestern Dr, Tecumseh, MI 49286-1233 | 2020-09-25 |
| 1427665439 | Baruch Sls, Inc. | Assisted Living Facility | 301 N Quick St, Blissfield, MI 49228-1051 | 2020-09-24 |
| 1295341956 | Comfort Home of Bloomfield Inc | Assisted Living Facility | 6372 Tutbury Ln, Troy, MI 48098-2151 | 2020-09-18 |
| 1306451679 | Traditions At Rivertown Park, LLC | Assisted Living Facility | 3555 Copper River Ave Sw, Wyoming, MI 49418-9791 | 2020-09-13 |
| Find all providers with the same taxonomy | ||||
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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.