Provider Demographics
NPI:1124677836
Name:ROYAL CHILDREN'S HOME, INC.
Entity type:Organization
Organization Name:ROYAL CHILDREN'S HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAHINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:NATALWALLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-380-5578
Mailing Address - Street 1:1500 CORPORATE CIR STE 2
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-5954
Mailing Address - Country:US
Mailing Address - Phone:817-380-5578
Mailing Address - Fax:
Practice Address - Street 1:1500 CORPORATE CIR STE 2
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-5954
Practice Address - Country:US
Practice Address - Phone:817-380-5578
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-05
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty