Provider Demographics
NPI:1073328332
Name:ROYAL COMPASSIONATE CARE
Entity type:Organization
Organization Name:ROYAL COMPASSIONATE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:KORSAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-969-1081
Mailing Address - Street 1:18-20 LACKAWANNA PLZ STE 217
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-3642
Mailing Address - Country:US
Mailing Address - Phone:973-969-1081
Mailing Address - Fax:
Practice Address - Street 1:18-20 LACKAWANNA PLZ STE 217
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-3642
Practice Address - Country:US
Practice Address - Phone:973-969-1081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities