Provider Demographics
NPI:1285386516
Name:ROYAL FAMILY HOME CARE
Entity type:Organization
Organization Name:ROYAL FAMILY HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OSARUGUE
Authorized Official - Middle Name:CASSANDRA
Authorized Official - Last Name:AIGBOGUN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:214-432-8013
Mailing Address - Street 1:3909 ROCHELLE LN
Mailing Address - Street 2:
Mailing Address - City:HEARTLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75126-2656
Mailing Address - Country:US
Mailing Address - Phone:214-432-8013
Mailing Address - Fax:
Practice Address - Street 1:3909 ROCHELLE LN
Practice Address - Street 2:
Practice Address - City:HEARTLAND
Practice Address - State:TX
Practice Address - Zip Code:75126-2656
Practice Address - Country:US
Practice Address - Phone:214-432-8013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-18
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SH0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistHome HealthGroup - Multi-Specialty