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LAVISH ROYALTY HOME CARE
NPI 1326715137
In Home Supportive Care in Fort Wayne, IN

Active since August 28, 2021CLIA 15D2336313 · Waiver
10439 W STATE ROAD 14, FORT WAYNE, IN 46814(574) 971-1610 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2024, Oct 6, 2022, Sep 22, 2022 and 3 more (6 updates tracked since 2021).

About Lavish Royalty Home Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAVISH ROYALTY HOME CARE (NPI 1326715137) is a healthcare organization registered as an in home supportive care in Fort Wayne, Indiana and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through December 29, 2027 and lists Kaeisha Murdock, Ceo, as its authorized official.

NPPES Registry Identity

NPI1326715137
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameLAVISH ROYALTY HOME CARE
Location Address10439 W STATE ROAD 14Fort Wayne, IN 46814-9181
Mailing Address10439 W State Road 14Fort Wayne, IN 46814-9181 · (574) 971-1610
Phone(574) 971-1610
Organization SubpartNo
Authorized OfficialKaeisha MurdockCeo · (574) 971-1610
Enumeration DateAugust 28, 2021
Last NPPES UpdateNovember 4, 20246 updates tracked since enumeration
NPPES CertifiedNovember 4, 2024
✔ NPI 1326715137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
10439 W STATE ROAD 14, Fort Wayne, IN 46814
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Other Names 1

Doing Business AsLavish Royalty Home Care

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2336313

Lavish Royalty Home Health Care LLC · Fort Wayne, IN
Active · expires Dec 29, 2027
CLIA Number15D2336313
Laboratory TypeHome Health Agency
Certificate Effective DateDecember 30, 2025
Certificate Expiration DateDecember 29, 2027
Laboratory DirectorKaeisha Murdock
Laboratory Phone(574) 971-1610
Laboratory LocationLavish Royalty Home Health Care LLC10439 W State Rd 14, Fort Wayne, IN 46814
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAVISH ROYALTY HOME HEALTH CARE LLC
Home Health
10439 W STATE ROAD 14
FORT WAYNE, IN 46814
Allen County (574) 971-1610
LAVISH ROYALTY DISABILITY SOLUTIONS LLC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
10439 W STATE ROAD 14
FORT WAYNE, IN 46814
Allen County (574) 971-1610

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lavish Royalty Home Care's NPI number?

The NPI number for Lavish Royalty Home Care is 1326715137. It was assigned to this organization in the NPPES registry on August 28, 2021.

Where is Lavish Royalty Home Care located?

Lavish Royalty Home Care is located at 10439 W State Road 14, Fort Wayne, IN 46814. The listed phone number is (574) 971-1610.

What is Lavish Royalty Home Care's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Does Lavish Royalty Home Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2336313) is associated with this NPI, valid through December 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lavish Royalty Home Care was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.