LAKESHORE SENIOR CARE
NPI 1568804169
Home Health in Holland, MI

Active since July 24, 2013
320 N 120TH AVE, STE 230, HOLLAND, MI 49424(616) 994-9900 Get Directions Write a Review

NPPES record last updated: July 24, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakeshore Senior Care NPPES

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

LAKESHORE SENIOR CARE (NPI 1568804169) is a healthcare organization registered as a home health in Holland, Michigan and active in the NPI registry since July 2013. The organization lists Scott James Bolthouse, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1568804169
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameLAKESHORE SENIOR CARE LLC
Location Address320 N 120TH AVE, STE 230Holland, MI 49424-2696
Mailing Address320 N 120th Ave, Ste 230Holland, MI 49424-2696 · (616) 994-9900
Organization SubpartYesParent: Lakeshore Legacy Group Family Limited Partnership
Authorized OfficialScott James BolthouseChief Executive Officer · (616) 994-9900
Enumeration DateJuly 24, 2013
NPI 1568804169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
320 N 120TH AVE, Holland, MI 49424

Other Names 1

Doing Business AsLakeshore Senior Care

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 Lakeshore Senior Care LLC's NPI number?

The NPI number for Lakeshore Senior Care LLC is 1568804169. It was assigned to this organization in the NPPES registry on July 24, 2013. The provider is doing business as Lakeshore Senior Care.

Where is Lakeshore Senior Care LLC located?

Lakeshore Senior Care LLC is located at 320 N 120th Ave Ste 230, Holland, MI 49424. The listed phone number is (616) 994-9900.

What is Lakeshore Senior Care LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Lakeshore Senior Care LLC was last updated on July 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.