Provider Demographics
NPI:1811161250
Name:THE LAKES HOMEHEALTH CORP
Entity type:Organization
Organization Name:THE LAKES HOMEHEALTH CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AMARILYS
Authorized Official - Middle Name:
Authorized Official - Last Name:PARRADO
Authorized Official - Suffix:
Authorized Official - Credentials:BSN
Authorized Official - Phone:305-824-0230
Mailing Address - Street 1:7789 NW 146TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1567
Mailing Address - Country:US
Mailing Address - Phone:305-824-0230
Mailing Address - Fax:305-824-4901
Practice Address - Street 1:7789 NW 146TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-1567
Practice Address - Country:US
Practice Address - Phone:305-824-0230
Practice Address - Fax:305-824-4901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-16
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
10-9245OtherMEDICARE