LAKESIDE HOME HEALTH NPI 1417721275

NPI Information

  • NPI: 1417721275
  • Provider Name: LAKESIDE HOME HEALTH
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 4124 QUEBEC AVE N STE 202
    NEW HOPE, MN
    ZIP 55427
  • Phone: (651) 363-2020

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NPI Details

LAKESIDE HOME HEALTH is a community behavioral health in New Hope, MN. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. LAKESIDE HOME HEALTH NPI is 1417721275. The provider is registered as an organization entity type.

The provider's business location address is:

4124 QUEBEC AVE N STE 202
NEW HOPE, MN
ZIP 55427-240
Phone: (651) 363-2020

The provider's authorized official is Ahmed Abdulkadir .
The authorized official title is Executive Director and has the following contact phone number (651) 363-2020.

The enumeration date for this NPI number is 11/13/2023 and was last updated on 11/13/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1253Z00000XIn Home Supportive CareNo
2251S00000XCommunity/Behavioral HealthYes

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: 11/21/2025

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