Lakeside Place, Inc

LBN: Lakeside Place, Inc
Lakeside Place, Inc is an health care organization with primary practice located at 7210 Lakeside Drive, North , Charlotte NC 28215. The organization recently has 4 registered licenses in different health care specialties including Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Nurse's Aide. Nursing Service Related Providers / Home Health Aide is the primary health care specialty. Lakeside Place, Inc can be contacted via phone (704) 563-1341, or through Funderburk, Marian Flowers via phone (704) 563-1341.

Contact Information

Primary practice address
7210 Lakeside Drive, North Charlotte NC 28215
Phone: (704) 563-1341
Fax: (704) 563-1341
Website:
Map and Directions
Authorized official contact:
Name: Funderburk, Marian Flowers
Phone: (704) 563-1341

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Adult Companion 372600000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X
Nursing Service Related Providers / Home Health Aide 374U00000X
Nursing Service Related Providers / Nurse's Aide 376K00000X

Profile Details

NPI number 1750056669
LBN Legal business name Lakeside Place, Inc
DBA Doing business as
Authorized official Funderburk, Marian Flowers
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2021
Last updated Aug 12th, 2021 - about 4 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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