Healthcare Provider Details

I. General information

NPI: 1124908553
Provider Name (Legal Business Name): LAKEVIEW HOME CARE & STAFFING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6441 S MAIN ST STE B
ASHTABULA OH
44004-4840
US

IV. Provider business mailing address

6441 S MAIN ST STE B
ASHTABULA OH
44004-4840
US

V. Phone/Fax

Practice location:
  • Phone: 440-224-0008
  • Fax: 440-224-0009
Mailing address:
  • Phone: 440-224-0008
  • Fax: 440-224-0009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: PAULINE RAE TROTTER
Title or Position: CEO / ADMINISTRATOR
Credential:
Phone: 330-541-7721