Active NPI
Lavish Royalty Home Care
- In Home Supportive Care Agency
- Fort Wayne, IN
National Provider Identifier
1326715137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.