LAKE LAGOS CARE LLC NPI 1497244693

NPI Information

  • NPI: 1497244693
  • Provider Name: LAKE LAGOS CARE LLC
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • Address: 1416 COUNTRY CLUB RD
    ENNIS, TX
    ZIP 75119
  • Phone: (469) 383-4776

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NPI Details

LAKE LAGOS CARE LLC is an adult care home custodial care facility in Ennis, TX. 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. LAKE LAGOS CARE LLC NPI is 1497244693. The provider is registered as an organization entity type.

The provider's business location address is:

1416 COUNTRY CLUB RD
ENNIS, TX
ZIP 75119-252
Phone: (469) 383-4776
Fax: (214) 723-5928

The provider's authorized official is Sarah Annette Knavel Isola .
The authorized official title is Ceo/president and has the following contact phone number (469) 383-4776.

The enumeration date for this NPI number is 5/3/2018 and was last updated on 6/16/2018.

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
1347C00000XPrivate VehicleNo
2311ZA0620XCustodial Care FacilityAdult Care HomeYes

What is NPI?

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This page was last updated on: 11/21/2025

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