Lakeside Academy

LBN: Lakeside For Children
Lakeside Academy is an health care organization with primary practice located at 3921 Oakland Dr , Kalamazoo MI 49008-4819. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Lakeside For Children can be contacted via phone (269) 381-4760, or through Nitz, Don via phone (269) 381-4760.

Contact Information

Primary practice address
3921 Oakland Dr Kalamazoo MI 49008-4819
Phone: (269) 381-4760
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nitz, Don
Phone: (269) 381-4760

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1750618419
LBN Legal business name Lakeside For Children
DBA Doing business as Lakeside Academy
Authorized official Nitz, Don
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2009
Last updated Nov 17th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750618419 NPPES
Michigan Other 6357061 STATE OF MICHIGAN RESIDENTIAL PROVIDER NUMBER

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