Provider Demographics
NPI:1164637617
Name:PEOPLE OF FAITH DBA ROYAL OAKS
Entity Type:Organization
Organization Name:PEOPLE OF FAITH DBA ROYAL OAKS
Other - Org Name:ROYAL OAKS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF HEALTH SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:DINA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:CAPEK
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN, LNHA
Authorized Official - Phone:623-815-4184
Mailing Address - Street 1:10015 W ROYAL OAK RD
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-3164
Mailing Address - Country:US
Mailing Address - Phone:623-938-2807
Mailing Address - Fax:623-815-4164
Practice Address - Street 1:10015 W ROYAL OAK RD
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-3164
Practice Address - Country:US
Practice Address - Phone:623-938-2807
Practice Address - Fax:623-815-4164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZALC4463310400000X
AZNCI342311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Not Answered311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility