Provider Demographics
NPI:1588600506
Name:ROYAL STAR HEALTHCARE INC.
Entity type:Organization
Organization Name:ROYAL STAR HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:OYELEKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-589-7019
Mailing Address - Street 1:7457 HARWIN DR
Mailing Address - Street 2:SUITE 252
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2018
Mailing Address - Country:US
Mailing Address - Phone:713-589-7019
Mailing Address - Fax:713-784-0525
Practice Address - Street 1:7457 HARWIN DR
Practice Address - Street 2:SUITE 252
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2018
Practice Address - Country:US
Practice Address - Phone:713-589-7019
Practice Address - Fax:713-784-0525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009599251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX677942Medicare ID - Type UnspecifiedHOME HEALTH AGENCY