Provider Demographics
NPI:1003456724
Name:THE LAKES HOME CARE INC
Entity Type:Organization
Organization Name:THE LAKES HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARRIDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-817-3912
Mailing Address - Street 1:14411 COMMERCE WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1531
Mailing Address - Country:US
Mailing Address - Phone:305-817-3912
Mailing Address - Fax:954-578-2949
Practice Address - Street 1:14411 COMMERCE WAY STE 200
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-1531
Practice Address - Country:US
Practice Address - Phone:305-817-3912
Practice Address - Fax:954-578-2949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-10
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL109500300Medicaid