Provider Demographics
NPI:1396858775
Name:LAKESHORE HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:LAKESHORE HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAILA
Authorized Official - Middle Name:
Authorized Official - Last Name:RATHOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-560-7591
Mailing Address - Street 1:3937 PATIENT CARE WAY
Mailing Address - Street 2:SUITE # 104
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-4287
Mailing Address - Country:US
Mailing Address - Phone:517-882-6000
Mailing Address - Fax:517-882-6006
Practice Address - Street 1:3937 PATIENT CARE WAY
Practice Address - Street 2:SUITE # 104
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-4287
Practice Address - Country:US
Practice Address - Phone:517-882-6000
Practice Address - Fax:517-882-6006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health