Healthcare Provider Details

I. General information

NPI: 1962450171
Provider Name (Legal Business Name): LAKELAND HOSPICE & HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 S UNION AVE
FERGUS FALLS MN
56537-2517
US

IV. Provider business mailing address

120 S UNION AVE
FERGUS FALLS MN
56537-2517
US

V. Phone/Fax

Practice location:
  • Phone: 218-736-7885
  • Fax: 218-736-2231
Mailing address:
  • Phone: 218-736-7885
  • Fax: 218-736-2231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CHERYL L. PELACCIO
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 701-388-8447