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LAKELAND HOMECARE LLC
NPI 1114458221
Assisted Living Facility in Eagan, MN

Active since March 22, 2017
1604 COVINGTON LN, EAGAN, MN 55122(763) 280-6652 Get Directions Write a Review

NPPES record last updated: March 22, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakeland Homecare Llc NPPES

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

LAKELAND HOMECARE LLC (NPI 1114458221) is a healthcare organization registered as an assisted living facility in Eagan, Minnesota and active in the NPI registry since March 2017. The organization lists Altaf Khondakar, Administrator, as its authorized official.

NPPES Registry Identity

NPI1114458221
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLAKELAND HOMECARE LLC
Location Address1604 COVINGTON LNEagan, MN 55122-2759
Mailing Address1604 Covington LnEagan, MN 55122-2759 · (763) 280-6652
Phone(763) 280-6652
Organization SubpartNo
Authorized OfficialAltaf KhondakarAdministrator · (763) 280-6652
Enumeration DateMarch 22, 2017
✔ NPI 1114458221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Also ListedSkilled Nursing FacilityTaxonomy 314000000X
1604 COVINGTON LN, Eagan, MN 55122
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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 Lakeland Homecare LLC's NPI number?

The NPI number for Lakeland Homecare LLC is 1114458221. It was assigned to this organization in the NPPES registry on March 22, 2017.

Where is Lakeland Homecare LLC located?

Lakeland Homecare LLC is located at 1604 Covington Ln, Eagan, MN 55122. The listed phone number is (763) 280-6652.

What is Lakeland Homecare LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Lakeland Homecare LLC was last updated on March 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.