Provider Demographics
NPI:1154872992
Name:ROYALTY HOME CARE AGENCY,INC
Entity type:Organization
Organization Name:ROYALTY HOME CARE AGENCY,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HATTIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ROBERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-436-8725
Mailing Address - Street 1:PO BOX 222742
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33422-2742
Mailing Address - Country:US
Mailing Address - Phone:561-436-8725
Mailing Address - Fax:
Practice Address - Street 1:4787 LAKE ARJARO DR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-1762
Practice Address - Country:US
Practice Address - Phone:561-436-8725
Practice Address - Fax:561-623-7866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-17
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL261QD16000XOtherTAXONOMY