LAKESHORE CARE CORP NPI 1609202589

NPI Information

  • NPI: 1609202589
  • Provider Name: LAKESHORE CARE CORP
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 8840 CEDAR CREEK DR
    HOLTON, MI
    ZIP 49425
  • Phone: (231) 821-0281

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NPI Details

LAKESHORE CARE CORP is an assisted living facility in Holton, MI. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. LAKESHORE CARE CORP NPI is 1609202589. The provider is registered as an organization entity type.

The provider's business location address is:

8840 CEDAR CREEK DR
HOLTON, MI
ZIP 49425-599
Phone: (231) 821-0281
Fax: (231) 821-0281

The provider's authorized official is Timothy G Adams .
The authorized official title is President and has the following contact phone number (616) 813-5471.

The enumeration date for this NPI number is 9/23/2013 and was last updated on 9/25/2013.

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
1310400000XAssisted Living FacilityAM610080832MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15983515MEDICAIDMICHIGAN

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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