# LAKESHORE HOME CARE SERVICES, INC.

> 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:** 1194021055
- **Authorized official:** JACKIE PATEL (ADMINISTRATOR)
- **Authorized official phone:** (989) 772-5000

## Contact information

- **Practice address:** 1105 S MISSION ST, MT PLEASANT, MI 48858-3914
- **Practice address phone:** (989) 772-5000
- **Practice address fax:** (989) 772-5005
- **Mailing address:** 1105 S MISSION ST, MT PLEASANT, MI 48858-3914
- **Mailing address phone:** (989) 772-5000
- **Mailing address fax:** (989) 772-5005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 03770L | MI | Yes |

## Other

- **Enumeration date:** 02/09/2011
- **Last updated:** 11/16/2012