Lavish Health Services , LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LAVISH HEALTH SERVICES , LLC

Practice address

7204 W 27TH St Ste 213
St Louis Park, MN 55426-3113

Phone

(952) 297-2348

NPI assigned

Jan 21, 2022

Organization subpart

No

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

Authorized official

Name

Fardosa Ahmed Hassna

Title

Director

Phone

(952) 297-2348

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1902558877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7204 W 27TH ST STE 213",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554263113",
            "telephone_number": "952-297-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7204 W 27TH ST STE 213",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554263113",
            "telephone_number": "952-297-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVISH HEALTH SERVICES , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "HASSNA",
        "authorized_official_first_name": "FARDOSA",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "952-297-2348"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Laurent
• Mamie J Lausch, R.D.
• Stefanie Lautenbach, RD
• Tina Patricia Lavin, SLP
• Lavish Divine Services Inc.
• Bernice Law
• Julia Lawler
• Michael James Lawson, M.D.
• Taylor Rae Lawson, MSW, LICSW
• Kathryn Layon, MD

• Home Health Agency in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.