LAKESIDE FOR CHILDREN NPI 1750618419

NPI Information

NPI: 1750618419
Provider Name: LAKESIDE FOR CHILDREN

Doing Business As: LAKESIDE ACADEMY

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
3921 OAKLAND DR
KALAMAZOO, MI
ZIP 49008
Phone: (269) 381-4760
Get Directions

LAKESIDE FOR CHILDREN is a residential treatment facility emotionally disturbed children in Kalamazoo, MI. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. LAKESIDE FOR CHILDREN NPI is 1750618419. The provider is registered as an organization entity type.
The provider Is Doing Business As Lakeside Academy.

The provider's business location address is:

3921 OAKLAND DR
KALAMAZOO, MI
ZIP 49008-819
Phone: (269) 381-4760

The provider's authorized official is Don Nitz .
The authorized official title is Board Administrator and has the following contact phone number (269) 381-4760.

The enumeration date for this NPI number is 11/17/2009 and was last updated on 11/17/2009.

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
1	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children				Yes

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
1	6357061	OTHER	MICHIGAN	STATE OF MICHIGAN RESIDENTIAL PROVIDER NUMBER

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

NPI Synchronization or Removal

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