LAKESIDE FLOOR COVERINGS, INC. (NPI# 1124646740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124646740 |
| Entity Type | Organization |
| Organization Name | LAKESIDE FLOOR COVERINGS, INC. |
| Practice Address |
7500 University Ave Ne Ste 1 Fridley MN 55432-2657 |
| Practice Telephone | 7635030100 |
| Practice Fax Number | 7635034778 |
| Mailing Telephone | 7635030100 |
| Mailing Fax Number | 7635034778 |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |
| Authorized Official Name | KEIA ISAACSON (PRESIDENT) |
| Authorized Official Telephone | 7635030100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171WH0202X |
Contractor Specialization: Home Modifications |
Other Service Providers |
| Street Address |
7500 UNIVERSITY AVE NE STE 1 |
| City | FRIDLEY |
| State | MN |
| Zip Code | 55432-2657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791177 | Adelyn Ruth Kopp | Occupational Therapist | 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 | 2019-07-11 |
| 1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
| 1518402213 | Peaceful Adult Day Center LLC. | Home Health | 6267 University Ave Ne, Fridley, MN 55432 | 2017-01-04 |
| 1205383742 | Farhiya Mahamud Gelle I | Durable Medical Equipment & Medical Supplies | 6329 5th Street Ne Apt 8, Fridley, MN 55432 | 2016-09-01 |
| 1093163164 | Christiane Schwecke | Specialist/Technologist | 8290 University Ave N, Fridley, MN 55432 | 2016-05-31 |
| 1336551563 | Amy White Mountain | Massage Therapist | 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 | 2014-05-22 |
| 1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
| 1952648180 | John Franklyn Marshall | Family Medicine | 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 | 2013-01-08 |
| 1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
| 1336423391 | Christian Restoration Services | Counselor | 7157 Commerce Circle W, Fridley, MN 55432 | 2011-10-07 |
| Find all providers in zip 55432 | ||||
| Taxonomy Code | 171WH0202X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| Specialization | Home Modifications |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154501153 | Rcb Revisions Incorporated | Contractor | 8090 University Ave Ne, Fridley, MN 55432-1862 | 2007-11-07 |
| 1730273525 | Chris Harlander | Contractor | 136 River Edge Way Ne, Fridley, MN 55432-4837 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508472994 | Woodcraft Design Build Inc | Contractor | 141 Lewis Ave S Apt 102, Watertown, MN 55388-4602 | 2020-09-21 |
| 1376154708 | Craig Matthew Johnson | Contractor | 8103 Upper 129th Ct, Apple Valley, MN 55124-6283 | 2020-08-10 |
| 1982214391 | Livable Home Solutions, LLC | Contractor | 10065 198th Ct W, Lakeville, MN 55044-7458 | 2020-08-01 |
| 1518576552 | Matthew Fisher | Contractor | 9452 Sax Rd, Forbes, MN 55738-8344 | 2020-07-27 |
| 1407473119 | Cornerstone of Willmar, Inc. | Contractor | 1020 Highway 71 Ne Ste 102, Willmar, MN 56201-2695 | 2020-06-29 |
| 1639790512 | Elia Stamboulieh | Contractor | 2777 Lexington Ave, Unit D, Roseville, MN 55113-2013 | 2020-05-01 |
| 1811533458 | Eden Builders Inc | Contractor | 2817 Aspen Lake Dr Ne, Blaine, MN 55449-3100 | 2019-11-19 |
| 1972151561 | Alpha Design Build Group, Inc. | Contractor | 108 Crystal Lake Rd W, Burnsville, MN 55306-5027 | 2019-08-28 |
| 1689233900 | Praco Contracting LLC | Contractor | 3837 Glenhurst Ave, St Louis Park, MN 55416-4915 | 2019-06-10 |
| 1982172581 | Terry Torrence | Contractor | 4625 Lyndale Ave N, Minneapolis, MN 55412-1440 | 2018-11-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.