# HOME CARE ON THE LAKESHORE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144072158
- **Authorized official:** CHERYL GUAJARDO (CEO)
- **Authorized official phone:** (231) 343-3079

## Contact information

- **Practice address:** 1657 S GETTY ST STE 10, MUSKEGON, MI 49442-5872
- **Practice address phone:** (231) 375-5133
- **Practice address fax:** (231) 375-8147
- **Mailing address:** 1657 S GETTY ST STE 10, MUSKEGON, MI 49442-5872
- **Mailing address phone:** (231) 375-5133
- **Mailing address fax:** (231) 375-8147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/03/2024
- **Last updated:** 04/03/2024