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General NPI Number Information
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NPI Number | 1386104669
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Entity Type | Organization
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Legal Business Name | THE LAKES HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 03/22/2019
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 14140 VENTURA BLVD STE 204
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-2750
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Country | US
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Telephone | 818-208-9276
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Fax | 855-832-0130
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Provider Business Mailing Address
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Address Line | 14140 VENTURA BLVD STE 204
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-2750
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Country | US
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Telephone | 833-473-1490
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Fax | 855-832-0130
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | OSCAR MARTINEZ
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Credential |
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Telephone | 833-473-1490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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