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LAKETOP INC. NPI 1073589230


NPI Information

NPI: 1073589230
Provider Name: LAKETOP INC.

Doing Business As: BRIGHTER DAYS HOME HEALTH AGENCY

Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 14D1029186

Address:
900 RIDGE ROAD
SUITE 3NW
HOMEWOOD, IL
ZIP 60430
Phone: (708) 960-0048
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LAKETOP INC. is a home health in Homewood, IL. The provider is 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. LAKETOP INC. NPI is 1073589230. The provider is registered as an organization entity type.
The provider Is Doing Business As Brighter Days Home Health Agency.

The provider's business location address is:

900 RIDGE ROAD
SUITE 3NW
HOMEWOOD, IL
ZIP 60430-937
Phone: (708) 960-0048
Fax: (708) 960-4243

The provider's authorized official is Ajibola Ogedengbe .
The authorized official title is Administrator and has the following contact phone number (708) 960-0048.

The CLIA number assigned to this NPI record is 14D1029186 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2006 and was last updated on 4/11/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome Health1011716ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1147795MEDICARE OSCAR/CERTIFICATIONILLINOIS
250392OTHERILLINOISBCBS
3760761822MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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