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LAKESIDE SKILLED CARE LLC
NPI 1073484374
Clinic/Center in Woodbury, MN

Active since September 17, 2025
6043 HUDSON RD STE 140S, WOODBURY, MN 55125(651) 500-5723 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakeside Skilled Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESIDE SKILLED CARE LLC (NPI 1073484374) is a healthcare organization registered as a clinic/center in Woodbury, Minnesota and active in the NPI registry since September 2025. The organization lists Farah Mohamed Mohamoud, Owner, as its authorized official.

NPPES Registry Identity

NPI1073484374
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLAKESIDE SKILLED CARE LLC
Location Address6043 HUDSON RD STE 140SWoodbury, MN 55125-1030
Mailing Address6043 Hudson Rd Ste 140sWoodbury, MN 55125-1030
Phone(651) 500-5723
Organization SubpartNo
Authorized OfficialFarah Mohamed MohamoudOwner · (701) 885-9006
Enumeration DateSeptember 17, 2025
NPPES CertifiedSeptember 17, 2025
✔ NPI 1073484374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
6043 HUDSON RD STE 140S, Woodbury, MN 55125
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeside Skilled Care LLC's NPI number?

The NPI number for Lakeside Skilled Care LLC is 1073484374. It was assigned to this organization in the NPPES registry on September 17, 2025.

Where is Lakeside Skilled Care LLC located?

Lakeside Skilled Care LLC is located at 6043 Hudson Rd Ste 140S, Woodbury, MN 55125. The listed phone number is (651) 500-5723.

What is Lakeside Skilled Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Lakeside Skilled Care LLC was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.