OrganizationLakeside Home Health, Inc.Home HealthAgenciesPractice Address4119 W Burbank Blvd Ste 143, Burbank, CA 91505-2122(714) 510-2682PECOS EnrollmentBased on the most recent information from CMS, provider Lakeside Home Health, Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1407458995Provider TypeOrganizationFull NameLakeside Home Health, Inc.SubpartNoEnumeration Date11/10/2020Last Updated11/10/2020Contact InformationPractice LocationPractice Address4119 W Burbank Blvd Ste 143, Burbank, CA 91505-2122Phone(714) 510-2682FaxUnlisted FaxMailing LocationMailing Address4119 W Burbank Blvd Ste 143, Burbank, CA 91505-2122Phone(714) 510-2682FaxUnlisted FaxAuthorized OfficialNameNasrollahy, Reza (Ceo)Phone(714) 510-2682Provider TaxonomiesCodeDescriptionLicenseCode251E00000XPrimaryDescriptionHome HealthAgenciesLicenseUnlisted Issuer