Provider Demographics
NPI:1427863406
Name:ROYALE SENIOR HOME CARE AGENCY
Entity type:Organization
Organization Name:ROYALE SENIOR HOME CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KELECHI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ONUOHA
Authorized Official - Suffix:
Authorized Official - Credentials:BS,CCRP
Authorized Official - Phone:919-786-3785
Mailing Address - Street 1:6900 SIX FORKS RD STE 100C
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-6459
Mailing Address - Country:US
Mailing Address - Phone:984-325-9250
Mailing Address - Fax:
Practice Address - Street 1:6900 SIX FORKS RD STE 100C
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-6459
Practice Address - Country:US
Practice Address - Phone:984-325-9250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-08
Last Update Date:2025-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care