HOME CARE AT THE LAKE, INC (NPI# 1700969177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700969177 |
| Entity Type | Organization |
| Organization Name | HOME CARE AT THE LAKE, INC |
| Practice Address |
470 N Broad St Suite E Mooresville NC 28115-3083 |
| Practice Telephone | 7046629911 |
| Practice Fax Number | 7046629080 |
| Mailing Telephone | 7046629911 |
| Mailing Fax Number | 7046629080 |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2007-12-04 |
| Authorized Official Name | KAREN H SMITH (PRESIDENT/HOME CARE COORDINATOR) |
| Authorized Official Telephone | 7046629911 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | HC2245 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6600882 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518141340 | Home Care At The Lake, Inc | Home Health | 470 N Broad St, Suite E, Mooresville, NC 28115-3083 | 2007-12-28 |
| Street Address |
470 N BROAD ST SUITE E |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28115-3083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952709495 | Assisted Lifestyle, Inc. | In Home Supportive Care | 470 N Broad St, Suite E, Mooresville, NC 28115-3083 | 2014-12-16 |
| 1710282348 | Assisted Lifestyle, Inc. | Technician | 470 N Broad St, Suite E, Mooresville, NC 28115-3083 | 2011-01-12 |
| 1659681104 | Assisted Lifestyle, Inc. | Technician | 470 N Broad St, Suite E, Mooresville, NC 28115-3083 | 2010-10-18 |
| 1518141340 | Home Care At The Lake, Inc | Home Health | 470 N Broad St, Suite E, Mooresville, NC 28115-3083 | 2007-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376172338 | Shawn Booth | Counselor | 111 Laporte Lane, Mooresville, NC 28115 | 2020-04-02 |
| 1407418262 | Carlyn Jean Malenfant | Dentist | Loveland Dental Group of Mooresville, 134 N. Magnolia Street, Mooresville, NC 28115 | 2019-07-02 |
| 1619435906 | Loveland Dental Group of Mooresville | Dentist | 134 N. Magnolia Street, Mooresville, NC 28115 | 2019-03-06 |
| 1801317383 | Jessie Watts Gogg | Social Worker | 138 Shepherd Rd, Mooresville, NC 28115 | 2017-07-05 |
| 1063869469 | Amber Hicks-thibodeau | Family Medicine | 798 Oak Ridge Farm Hwy. Suite A, Mooresville, NC 28115 | 2016-05-16 |
| 1003286774 | Lauren Holscher | Speech-Language Pathologist | 3369 Deal Rd, Mooresville, NC 28115 | 2015-10-06 |
| 1629460217 | Jenny S Ryerson | Social Worker | 919 N Main St Ste B, Mooresville, NC 28115 | 2015-02-19 |
| 1720495435 | Lindsey Gardner | Pharmacist | 966 E Iredell Ave., Mooresville, NC 28115 | 2014-07-14 |
| 1568899169 | Saloni Mehta | Physical Therapist | 550 Glenwood Drive, Genesis Rehab, Charlotte, NC 28115 | 2013-09-27 |
| 1528312600 | Ronnie G. Davidson II Dmd Pa | Dentist | 134 N. Magnolia St., Mooresville, NC 28115 | 2012-10-29 |
| Find all providers in zip 28115 | ||||
| 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 |
|---|---|---|---|---|
| 1699264408 | Lovability Home Health Care LLC | Home Health | 410 N Monroe St # 19a, Mooresville, IN 46158-1582 | 2018-05-07 |
| 1942683503 | Mooresville Home Care Services, LLC | Home Health | 142 S. Cardigan Way, Ste D-1, Mooresville, NC 28117-8537 | 2015-07-01 |
| 1912396623 | Angels of Love Respite Home Care | Home Health | 516 River Hwy Ste D, Ste 136, Mooresville, NC 28117-6830 | 2015-01-19 |
| 1144454919 | Eldercare Solutions | Home Health | 156 N Broad St Ste A, Mooresville, NC 28115-2688 | 2009-05-08 |
| 1710012810 | Cornerstone Home Health Care, Inc | Home Health | 576 Bridge St, Mooresville, IN 46158-1342 | 2007-02-22 |
| 1558403915 | Landrum, Inc. | Home Health | 542 Williamson Rd, Suite 5, Mooresville, NC 28117-8193 | 2007-02-13 |
| 1902406283 | The Jarrard Group Inc. | Home Health | 331 Alcove Rd Ste 200, Mooresville, NC 28117-7669 | 2020-10-27 |
| 1932449626 | Allcare Community Services, Inc. | Home Health | 610 S Main St, #22, Mooresville, NC 28115-3229 | 2013-02-18 |
| 1962778654 | Rn 2u, Inc | Home Health | 9731 N Kitchen Rd, Mooresville, IN 46158-6537 | 2012-03-27 |
| 1427342021 | Dedicated Home Services, Inc. | Home Health | 235 Medical Park Rd, Suite 203, Mooresville, NC 28117-8545 | 2011-06-01 |
| Find all providers in MOORESVILLE | ||||
| City | MOORESVILLE |
| Zip Code | 28115 |
Please comment or provide details below to improve the information on HOME CARE AT THE LAKE, INC.
| 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.