Organization Active NPI

Lavish Royalty Home Care

  • In Home Supportive Care Agency
  • Fort Wayne, IN
National Provider Identifier
1326715137
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LAVISH ROYALTY HOME CARE
Doing business as
LAVISH ROYALTY HOME CARE
Practice address
10439 W State Road 14
Fort Wayne, IN 46814-9181
Phone
(574) 971-1610
NPI assigned
Aug 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kaeisha Murdock
Title
Ceo
Phone
(574) 971-1610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

10439 W State Road 14
Fort Wayne, IN 46814-9181

Mailing address

10439 W State Road 14
Fort Wayne, IN 46814-9181
Phone (574) 971-1610

Other names 1

  • LAVISH ROYALTY HOME CARE Doing business as

National Provider Directory

National Provider Directory

Locations

3601 Hobson Rd
Fort Wayne, IN 46815
Phone (260) 267-0705

3601 Hobson Rd
Ste 203
Fort Wayne, IN 46815
Phone (260) 433-7635

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1326715137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10439 W STATE ROAD 14",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468149181",
            "telephone_number": "574-971-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10439 W STATE ROAD 14",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468149181",
            "telephone_number": "574-971-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVISH ROYALTY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-28",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "MURDOCK",
        "authorized_official_first_name": "KAEISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "574-971-1610"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAVISH ROYALTY HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.