OrganizationActive
Lakeside Skilled Care LLC
NPI 1073484374 · Clinic/Center · Woodbury, MN
Lakeside Skilled Care LLC is a Clinic/Center organization in Woodbury, MN (NPI 1073484374).
Provider details
- NPI number
- 1073484374
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Farah Mohamoud, Owner(701) 885-9006
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6043 Hudson Rd Ste 140s
Woodbury, MN 55125-1030
Phone: (651) 500-5723
Approximate (ZIP-level) locationGet directions
Mailing address
6043 Hudson Rd Ste 140s
Woodbury, MN 55125-1030
Registry dates
- Enumerated
- 2025-09-17
- Last updated
- 2025-09-17
- Certified
- 2025-09-17
Frequently asked questions
- What is Lakeside Skilled Care LLC's NPI number?
- Lakeside Skilled Care LLC's National Provider Identifier (NPI) is 1073484374, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Skilled Care LLC?
- Lakeside Skilled Care LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lakeside Skilled Care LLC located?
- Lakeside Skilled Care LLC's practice location on file with NPPES is 6043 Hudson Rd Ste 140s, Woodbury, MN 55125-1030.
- What is Lakeside Skilled Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Skilled Care LLC is (651) 500-5723.
- Who is the authorized official for Lakeside Skilled Care LLC?
- The authorized official listed on Lakeside Skilled Care LLC's NPPES record is Farah Mohamoud, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Skilled Care LLC's NPI active?
- Yes — Lakeside Skilled Care LLC's NPI (1073484374) is active in the NPPES registry as of the last update on 2025-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.