# LAVISH HOME CARE LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164177408
- **Authorized official:** TIMEREA DUNN LPN (CEO/OWNER)
- **Authorized official phone:** (480) 599-7980

## Contact information

- **Practice address:** 1460 E BELL RD APT 2146-2, PHOENIX, AZ 85022-7794
- **Practice address phone:** (480) 599-7980
- **Mailing address:** 1460 E BELL RD APT 2146-2, PHOENIX, AZ 85022-7794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 02/15/2022
- **Last updated:** 03/08/2024