Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lakeside Place, Inc

Organization Adult Companion · NPI 1750056669

Lakeside Place, Inc is an Adult Companion in Charlotte, North Carolina. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7210 Lakeside Dr N
Charlotte, NC 28215
Phone: (704) 563-1341
Fax: (704) 563-1341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Aide (primary) Taxonomy 374U00000X
Adult Companion Taxonomy 372600000X
Personal Care Attendant Taxonomy 3747P1801X
Nurse's Aide Taxonomy 376K00000X

Record details

NPI number1750056669
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marian Funderburk — President/Owner · (704) 563-1341
NPI enumeratedAugust 12, 2021
Last updated in NPPESAugust 12, 2021
Certification dateAugust 12, 2021
Mailing address7210 Lakeside Drive, North, Charlotte, NC 28215

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