Healthcare Provider Details

I. General information

NPI: 1386581684
Provider Name (Legal Business Name): LAVISH ROYALTY HOME CARE OH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 SUPERIOR AVE STE 1300
CLEVELAND OH
44114-2654
US

IV. Provider business mailing address

850 EUCLID AVE STE 819
CLEVELAND OH
44114-3315
US

V. Phone/Fax

Practice location:
  • Phone: 574-971-1610
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: KAEISHA MURDOCK
Title or Position: OWNER
Credential:
Phone: 574-971-1610