Provider Demographics
NPI:1497980916
Name:THE LAKES HOME HEALTH AGENCY, INC.
Entity Type:Organization
Organization Name:THE LAKES HOME HEALTH AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-879-1574
Mailing Address - Street 1:5901 NW 151ST ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2452
Mailing Address - Country:US
Mailing Address - Phone:786-879-1574
Mailing Address - Fax:954-602-2884
Practice Address - Street 1:5901 NW 151 STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2473
Practice Address - Country:US
Practice Address - Phone:786-879-1574
Practice Address - Fax:954-602-2884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-28
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health