Provider Demographics
NPI:1073720942
Name:LAKEVIEW HOME HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:LAKEVIEW HOME HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:L
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:717-240-0878
Mailing Address - Street 1:437 E NORTH ST
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-2620
Mailing Address - Country:US
Mailing Address - Phone:717-240-0878
Mailing Address - Fax:717-240-0930
Practice Address - Street 1:437 E NORTH ST
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-2620
Practice Address - Country:US
Practice Address - Phone:717-240-0878
Practice Address - Fax:717-240-0930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018742810001Medicaid