Provider Demographics
NPI:1528443835
Name:ROYAL CARE LINK, LLC
Entity type:Organization
Organization Name:ROYAL CARE LINK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:PEPUKAYI
Authorized Official - Last Name:MAZHANGARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-203-5807
Mailing Address - Street 1:4660 S HAGADORN RD STE 200G
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-5353
Mailing Address - Country:US
Mailing Address - Phone:517-203-5807
Mailing Address - Fax:517-253-7566
Practice Address - Street 1:4700 S HAGADORN RD
Practice Address - Street 2:SUITE 107 A
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-6807
Practice Address - Country:US
Practice Address - Phone:517-203-5807
Practice Address - Fax:517-253-7566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-28
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No253Z00000XAgenciesIn Home Supportive Care
No347C00000XTransportation ServicesPrivate Vehicle