Organization Active NPI

Lavish Care Service LLC

  • Licensed Practical Nurse
  • Pensacola, FL
National Provider Identifier
1689496291
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
Legal business name
LAVISH CARE SERVICE LLC
Practice address
7326 Mangum Dr
Pensacola, FL 32504-6477
Phone
(833) 340-9201
NPI assigned
Oct 26, 2024
Last updated
Sep 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Authorized official

Name
Lisa Campbell, LPN
Title
Owner: LPN
Phone
(850) 382-5033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X NU Primary

Addresses

Primary practice location

7326 Mangum Dr
Pensacola, FL 32504-6477

Mailing address

7326 Mangum Dr
Pensacola, FL 32504-6477
Phone (833) 340-9201

Other identifiers 1

IdentifierTypeStateIssuer
240249MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1729900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1689496291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7326 MANGUM DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046477",
            "telephone_number": "833-340-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7326 MANGUM DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046477",
            "telephone_number": "833-340-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVISH CARE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-26",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER: LPN",
        "authorized_official_telephone_number": "850-382-5033",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240249",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.