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LAKELAND HOUSE INC NPI 1285755793


NPI Information

NPI: 1285755793
Provider Name: LAKELAND HOUSE, INC
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

CLIA Number: 23D0915719

Address:
1052 BYRON DR
TROY, MI
ZIP 48098
Phone: (248) 952-5821
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LAKELAND HOUSE, INC is an adult care home custodial care facility in Troy, MI. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. LAKELAND HOUSE, INC NPI is 1285755793. The provider is registered as an organization entity type.

The provider's business location address is:

1052 BYRON DR
TROY, MI
ZIP 48098-420
Phone: (248) 952-5821

The provider's authorized official is Gary Ernest Romanelli .
The authorized official title is Coo & Cfo and has the following contact phone number (248) 350-8070.

The CLIA number assigned to this NPI record is 23D0915719 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care HomeMICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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