LAKESHORE COMMUNITY OUTREACH INCORPORATION (NPI# 1649632191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649632191 |
| Entity Type | Organization |
| Organization Name | LAKESHORE COMMUNITY OUTREACH INCORPORATION |
| Practice Address |
730 Clinton St Gary IN 46406-1453 |
| Practice Telephone | 2195884511 |
| Practice Fax Number | 2198982045 |
| Mailing Telephone | 2195884511 |
| Mailing Fax Number | 2198982045 |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |
| Authorized Official Name | MS. GLADYS FRYE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2195884511 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Street Address |
730 CLINTON ST |
| City | GARY |
| State | IN |
| Zip Code | 46406-1453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639150543 | Human Services, Inc. | Non-emergency Medical Transport (VAN) | 730 Clinton St, Gary, IN 46406-1453 | 2005-11-08 |
| 1760432249 | Human Services Transport Provider Incorporated | Non-emergency Medical Transport (VAN) | 730 Clinton St, Gary, IN 46406-1453 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134380009 | Aspire Academy | Local Education Agency (LEA) | 4900 W 15th Ave, Gary, IN 46406 | 2008-06-23 |
| 1821118589 | Comprehensive Physical Therapy | Physical Therapist | 7501 W. 15th Ave, Gary, IN 46406 | 2007-03-29 |
| 1205973336 | Comprehensive Therapy, Inc. | Physical Therapist | 7501 W. 15th Ave., Gary, IN 46406 | 2007-01-30 |
| 1588603286 | Bryan Michael Buksar | Physical Therapist | 7101 West 17th Avenue, Gary, IN 46406 | 2006-06-06 |
| 1770960536 | Edgewater Systems for Balanced Living, Inc | Psychiatric Hospital | 4747 W 24th Ave, Gary, IN 46406 | 2015-04-30 |
| 1285753103 | Comprehensive Care | Preventive Medicine | 7501 W. 15th Ave., Gary, IN 46406 | 2007-03-29 |
| 1891832929 | Michael Foreit | General Practice | 7501 W. 15th Ave., Gary, IN 46406 | 2007-01-30 |
| 1740327873 | Frank Messana | General Practice | 7501 W. 15th Ave., Gary, IN 46406 | 2007-01-30 |
| 1760651863 | Tolanda Somerville | Speech-Language Pathologist | 5901 W 7th Ave, Gary, IN 46406-1311 | 2008-02-22 |
| 1598934697 | Lisa Previs | Developmental Therapist | 5901 W 7th Ave, Gary, IN 46406-1311 | 2008-02-22 |
| Find all providers in zip 46406 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043868979 | Express Transportation Services | Non-emergency Medical Transport (VAN) | 3987 Cleveland St, Gary, IN 46408-2476 | 2019-09-04 |
| 1922588755 | Mobile Medical Transport, Incorporated | Non-emergency Medical Transport (VAN) | 411 Marshall Street, Gary, IN 46404-5041 | 2018-08-21 |
| 1508304114 | Entrustus Transportation LLC | Non-emergency Medical Transport (VAN) | 3530 Virginia St, Gary, IN 46409-1353 | 2017-02-02 |
| 1235673757 | Trusty Transit, LLC | Non-emergency Medical Transport (VAN) | 3649 Pierce St, Gary, IN 46408-1653 | 2016-12-19 |
| 1467813576 | Timothy Keith | Non-emergency Medical Transport (VAN) | 1053 Hobart St, Gary, IN 46406-1941 | 2016-03-16 |
| 1124411277 | Arc Transportation, LLC | Non-emergency Medical Transport (VAN) | 2329 Lincoln St, Gary, IN 46407-3446 | 2015-03-13 |
| 1306243027 | Around The Clock Transportation | Non-emergency Medical Transport (VAN) | 3979 Cleveland St, Gary, IN 46408 | 2014-11-24 |
| 1861751604 | 5 Star Elite Medical Transportation Service | Non-emergency Medical Transport (VAN) | 349 King St, Gary, IN 46406-1350 | 2012-05-14 |
| 1225348550 | Lending A Helping Hand | Non-emergency Medical Transport (VAN) | 945 Stevenson St, Gary, IN 46406-1947 | 2010-10-20 |
| 1932420841 | Helping & Offering People Empowerment'h.o.p.e Incorporated | Non-emergency Medical Transport (VAN) | 3565 Broadway, Suite A, Gary, IN 46409-1316 | 2010-06-15 |
| Find all providers in GARY | ||||
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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.