Provider Demographics
NPI:1215482500
Name:ROYAL HEARTS HOMECARE LLC
Entity type:Organization
Organization Name:ROYAL HEARTS HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:G
Authorized Official - Last Name:FITCHETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-486-2820
Mailing Address - Street 1:3500 VA BEACH BLVD
Mailing Address - Street 2:SUITE 401
Mailing Address - City:VA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-4445
Mailing Address - Country:US
Mailing Address - Phone:757-486-2820
Mailing Address - Fax:
Practice Address - Street 1:3500 VA BEACH BLVD
Practice Address - Street 2:SUITE 401
Practice Address - City:VA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-4445
Practice Address - Country:US
Practice Address - Phone:757-486-2820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-17
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-171489251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health