MEDICARE: LAVISH LIVING HOME CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1326869801
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAVISH LIVING HOME CARE

Provider Business Mailing Address
First Line	:	8555 RIVER RD STE 200
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-4304
Country	:	US
Telephone Number	:	317-601-9124
Fax Number	:

Provider Business Practice Location Address
First Line	:	8555 RIVER RD STE 200
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-4304
Country	:	US
Telephone Number	:	317-601-9124
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BRANDI DAWKINS
Credential	:
Telephone Number	:	317-601-9124

Provider Enumeration Date	:	10/17/2024
Last Update Date	:	10/17/2024

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Directions to “LAVISH LIVING HOME CARE ” Practice Location

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