LAKESTATE INDUSTRIES (NPI# 1578108643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578108643 |
| Entity Type | Organization |
| Organization Name | LAKESTATE INDUSTRIES |
| Practice Address |
1830 N 21st St Escanaba MI 49829-9586 |
| Mailing Address |
Po Box 279 Escanaba MI 49829-0279 |
| Practice Telephone | 9067869212 |
| Mailing Telephone | 9067869212 |
| Mailing Fax Number | 9067896004 |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-11-13 |
| Authorized Official Name | CHERYL GERISE OHMAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9067869212 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| Street Address |
1830 N 21ST ST |
| City | ESCANABA |
| State | MI |
| Zip Code | 49829-9586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770192510 | Haas Hearing Pllc | Audiologist | 423 Ludington Street, Escanaba, MI 49829 | 2020-07-28 |
| 1104308535 | Lindsay Hope Hall | Occupational Therapist | 2415 5th Ave, Escanaba, MI 49829 | 2018-09-01 |
| 1962941260 | Amber Joy Quigley | Speech-Language Pathologist | 300 Willow Creek Road, Escanaba, MI 49829 | 2017-02-20 |
| 1316377799 | Michelle M Holochwost | Physical Therapist | 501 S. Lincoln Road, Escanaba, MI 49829 | 2013-11-20 |
| 1518304179 | Megan Haas | Audiologist | 423, Suite 1, Escanaba, MI 49829 | 2013-05-22 |
| 1063768422 | Stacey Lynn Cole | Nurse Practitioner | 3409 Ludington St Ste 104, Escanaba, MI 49829 | 2012-08-03 |
| 1407177678 | Sarah Jean Nault | Physical Therapist | 501 S. Lincoln Rd, Escanaba, MI 49829 | 2010-06-22 |
| 1851572960 | James Brian Hull | Occupational Therapist | 2415 Fifth Avenue South, Escanaba, MI 49829 | 2007-11-16 |
| 1497942841 | Anne M Stein | Nurse Practitioner | 7100 Co. Rd. 426, Escanaba, MI 49829 | 2007-10-01 |
| 1083813703 | Michael Czerkes | Obstetrics & Gynecology | 3409 Ludington St Ste 204, Escanaba, MI 49829 | 2007-07-12 |
| Find all providers in zip 49829 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139307 | Heart Matters | Day Training/Habilitation Specialist | 9037 Fielding St, Detroit, MI 48228-1670 | 2020-09-22 |
| 1275145344 | Brandy Wilson | Day Training/Habilitation Specialist | 37301 Radde St, Clinton Township, MI 48036-2932 | 2020-08-20 |
| 1679088074 | Tortia Tuo | Day Training/Habilitation Specialist | 5035 Marwood Ct Se, Kentwood, MI 49508-4852 | 2017-12-06 |
| 1710405048 | Shannika Gilbert | Day Training/Habilitation Specialist | 12075 Sorrento St, Detroit, MI 48227-3751 | 2017-09-07 |
| 1336570472 | Charles Garofali | Day Training/Habilitation Specialist | 6892 W Maple Rd, West Bloomfield, MI 48322-3032 | 2013-11-27 |
| 1902036288 | Maria A. Germain-bush | Day Training/Habilitation Specialist | 3474 Snowfarm Ln, Allegan, MI 49010-9188 | 2009-07-21 |
| 1952587487 | Autumn Lynn Westbrook | Day Training/Habilitation Specialist | 4166 Ravenswood Rd, Port Huron, MI 48060-7817 | 2008-01-15 |
| 1154507879 | Theresa Laura Swinson | Day Training/Habilitation Specialist | 4745 Fish Rd, Kimball, MI 48074-1506 | 2008-01-11 |
| 1083890818 | Andrea Lynn Rodriguez | Day Training/Habilitation Specialist | 375 Henry St, Smiths Creek, MI 48074-4005 | 2008-01-10 |
| 1952587784 | Melana Marie Bennett | Day Training/Habilitation Specialist | 1214 Rawlins St, Port Huron, MI 48060-3658 | 2008-01-10 |
| 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.