Provider Demographics
NPI:1063591774
Name:ROYALTY HOME HEALTH CARE SERVICES INC
Entity type:Organization
Organization Name:ROYALTY HOME HEALTH CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM AND STAFF DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:JEROME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-426-9711
Mailing Address - Street 1:678 E TAGGART ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:EAST PALESTINE
Mailing Address - State:OH
Mailing Address - Zip Code:44413-2400
Mailing Address - Country:US
Mailing Address - Phone:330-426-9711
Mailing Address - Fax:330-426-9190
Practice Address - Street 1:678 E TAGGART ST
Practice Address - Street 2:SUITE A
Practice Address - City:EAST PALESTINE
Practice Address - State:OH
Practice Address - Zip Code:44413-2400
Practice Address - Country:US
Practice Address - Phone:330-426-9711
Practice Address - Fax:330-426-9190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251E00000XAgenciesHome Health
Not Answered251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0997346Medicaid
OH0251963Medicaid
OH0251963Medicaid