Healthcare Provider Details

I. General information

NPI: 1073720942
Provider Name (Legal Business Name): LAKEVIEW HOME HEALTH SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

437 E NORTH ST
CARLISLE PA
17013-2620
US

IV. Provider business mailing address

437 E NORTH ST
CARLISLE PA
17013-2620
US

V. Phone/Fax

Practice location:
  • Phone: 717-240-0878
  • Fax: 717-240-0930
Mailing address:
  • Phone: 717-240-0878
  • Fax: 717-240-0930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier0018742810001
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name: SHARON L JONES
Title or Position: PRESIDENT
Credential: RN
Phone: 717-240-0878