Provider Demographics
NPI:1053957134
Name:LAKEVIEW HOME HEALTH CARE INC.
Entity type:Organization
Organization Name:LAKEVIEW HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZEWDNESH
Authorized Official - Middle Name:W
Authorized Official - Last Name:SINKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-291-6188
Mailing Address - Street 1:15891 GALVESTON AVE
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-5967
Mailing Address - Country:US
Mailing Address - Phone:763-291-6188
Mailing Address - Fax:
Practice Address - Street 1:15891 GALVESTON AVE
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-5967
Practice Address - Country:US
Practice Address - Phone:763-291-6188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-23
Last Update Date:2020-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)