LAKE COUNTRY HOME CARE LLC (NPI# 1811513674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811513674 |
| Entity Type | Organization |
| Organization Name | LAKE COUNTRY HOME CARE LLC |
| Practice Address |
95 Miller St Ste E New York Mills MN 56567-4332 |
| Practice Telephone | 2183853422 |
| Practice Fax Number | 2183853506 |
| Mailing Telephone | 2183853422 |
| Mailing Fax Number | 2183853506 |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |
| Authorized Official Name | ADELE LAUSTEN (CO-OWNER/MANAGER) |
| Authorized Official Telephone | 2183853422 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| Lake Country Home Care LLC | Doing Business As Name - Organization |
| Street Address |
95 MILLER ST STE E |
| City | NEW YORK MILLS |
| State | MN |
| Zip Code | 56567-4332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164730362 | Otter Tail County Public Health | Public Health or Welfare | 118 North Main Avenue, New York Mills, MN 56567 | 2010-09-22 |
| 1740419696 | Josephine Annette Wigert | Community Health Worker | 118 North Main St., New York Mills, MN 56567 | 2009-07-13 |
| 1629204425 | Paula Rae Martenson | Registered Nurse | 118 N Main Ave, Box 99, New York Mills, MN 56567 | 2009-06-08 |
| 1689703365 | Ksteinbach, Inc | Home Health | 42690 Cty Hwy 67, New York Mills, MN 56567 | 2007-03-05 |
| 1316002488 | Independent School District 553 | Local Education Agency (LEA) | 209 Hayes St, New York Mills, MN 56567 | 2006-12-27 |
| 1750302972 | Thomas M Seaworth | Family Medicine | 20 Centennial 84 Dr W, New York Mills, MN 56567 | 2006-07-22 |
| 1356321624 | Elders Home Inc | Skilled Nursing Facility | 215 S Tousley Ave, New York Mills, MN 56567 | 2006-01-20 |
| 1285655407 | Timothy J Studer | Family Medicine | 20 Centennial 84 Dr W, New York Mills, MN 56567 | 2006-07-22 |
| 1811123573 | Jodi Lynn Misegades | Registered Nurse | 118 Main Avenue North, New York Mills, MN 56567-0099 | 2009-06-08 |
| 1013143924 | Joann Winjum | Registered Nurse | 118 No. Main St., New York Mills, MN 56567-0099 | 2009-06-05 |
| Find all providers in zip 56567 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930137 | Allhealth Home Care LLC | In Home Supportive Care | 23136 Birchwood Estates Rd, Fergus Falls, MN 56537-4516 | 2020-10-21 |
| 1477152593 | Canny, LLC | In Home Supportive Care | 4205 Lancaster Ln N Ste 104, Plymouth, MN 55441-1702 | 2020-10-20 |
| 1164020665 | Seh Morris Brown | In Home Supportive Care | 7655 Woodlawn Dr Apt 305, Saint Paul, MN 55112-4065 | 2020-10-15 |
| 1831797588 | Zarr Blejay Yarpah | In Home Supportive Care | 2508 County Road I Apt 105, Saint Paul, MN 55112-6242 | 2020-10-14 |
| 1538776794 | Dependable Angels Home Care | In Home Supportive Care | 949 Schaller Dr S Ste 2, Maplewood, MN 55119-5843 | 2020-09-30 |
| 1922611011 | Providence Home Care Inc | In Home Supportive Care | 3040 4th Ave S Ste 102, Minneapolis, MN 55408-2409 | 2020-08-28 |
| 1043823545 | Autism Bright Start | In Home Supportive Care | 2644 13th Ave S, Minneapolis, MN 55407-1121 | 2020-08-25 |
| 1174135909 | Amana Care LLC | In Home Supportive Care | 7700 36th Ave N Apt 318, Crystal, MN 55427-2038 | 2020-08-21 |
| 1578175105 | Tracy Denise Winters | In Home Supportive Care | 4404 83rd Cir N, Brooklyn Park, MN 55443-2534 | 2020-08-17 |
| 1760007827 | Bhim Raj Adhikari | In Home Supportive Care | 220 Robert St S Ste 100, Saint Paul, MN 55107-1677 | 2020-06-14 |
| Find all providers with the same taxonomy | ||||
| City | NEW YORK MILLS |
| Zip Code | 56567 |
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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.