Basic Information
| Provider Information | |||||||||
| NPI: | 1659410421 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | LAKEPOINT HOME HEALTH SERVICES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 601 N ROSE HILL RD | ||||||||
| Address2: | |||||||||
| City: | ROSE HILL | ||||||||
| State: | KS | ||||||||
| PostalCode: | 671339336 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3167762194 | ||||||||
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| Practice Location | |||||||||
| Address1: | 601 N ROSE HILL RD | ||||||||
| Address2: | |||||||||
| City: | ROSE HILL | ||||||||
| State: | KS | ||||||||
| PostalCode: | 671339336 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3167762194 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/06/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | GEORGE | ||||||||
| AuthorizedOfficialFirstName: | CAROL | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 3167762194 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | R.N. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | A008009 | KS | Y | Agencies | Home Health |
No ID Information.