Visible light communication (VLC) and visible light positioning (VLP) systems are usually designed separately to prevent mutual interference, while terminal mobility often introduces challenges that can degrade their performance. In this paper, we propose an integrated visible light communication and positioning (VLCP) scheme designed for mobile scenarios, encompassing both multiple-input–single-output (MISO) and multiple-input–multiple-output (MIMO) configurations. This scheme integrates both functionalities into a unified system. Utilizing decision feedback channel estimation (DFCE), we effectively estimate the dynamic channel state information (CSI) for both VLC and VLP, thereby potentially enhancing both communication and positioning performance. Simulation results across various routes verify the effectiveness of the proposed scheme. It is observed that when the terminal moves at 1 m/s, the VLCP scheme with DFCE can maintain reliable transmission quality, ensuring bit error rates (BERs) consistently below 1.3 × 10−2. Additionally, the mean positioning errors remain within the centimeter range in different routes, not exceeding 4.3 cm and 15.5 cm in the MISO and MIMO scenarios, respectively.