NPIMap

Organization Active NPI

Lavender Smart Homecare, LLC

  • In Home Supportive Care Agency
  • Lake City, FL
National Provider Identifier
1679345987
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LAVENDER SMART HOMECARE, LLC
Practice address
725 SE Baya Dr
Lake City, FL 32025-6073
Phone
(602) 581-1588
NPI assigned
Oct 30, 2023
Last updated
Oct 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Zuhal FadlNPI 1841989415
Title
Owner/President
Phone
(602) 581-1588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

725 SE Baya Dr
Lake City, FL 32025-6073

Mailing address

725 SE Baya Dr
Lake City, FL 32025-6073
Phone (602) 581-1588

National Provider Directory

National Provider Directory

Locations

725 SE Baya Dr
Lake City, FL 32025
Phone (602) 581-1588

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1679345987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 SE BAYA DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256073",
            "telephone_number": "602-581-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 SE BAYA DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256073",
            "telephone_number": "602-581-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVENDER SMART HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "FADL",
        "authorized_official_first_name": "ZUHAL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "602-581-1588"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.