Provider Demographics
NPI:1417461922
Name:LAKEWOOD SOLUTIONS, LLC
Entity Type:Organization
Organization Name:LAKEWOOD SOLUTIONS, LLC
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-670-0076
Mailing Address - Street 1:241 COMMERCE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60014-3538
Mailing Address - Country:US
Mailing Address - Phone:317-670-0076
Mailing Address - Fax:
Practice Address - Street 1:241 COMMERCE DR STE 200
Practice Address - Street 2:
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-3538
Practice Address - Country:US
Practice Address - Phone:317-670-0076
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-20
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care