Provider Demographics
NPI:1225265390
Name:ROYAL HOME HEALTH SERVICES,INC
Entity Type:Organization
Organization Name:ROYAL HOME HEALTH SERVICES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABAYOMI
Authorized Official - Middle Name:SAMSON
Authorized Official - Last Name:JOEL
Authorized Official - Suffix:
Authorized Official - Credentials:BACHELOR DEGREE
Authorized Official - Phone:773-719-5863
Mailing Address - Street 1:4645 147TH ST
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:IL
Mailing Address - Zip Code:60445-2524
Mailing Address - Country:US
Mailing Address - Phone:708-535-0277
Mailing Address - Fax:708-535-2995
Practice Address - Street 1:4645 147TH ST
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:IL
Practice Address - Zip Code:60445-2524
Practice Address - Country:US
Practice Address - Phone:708-535-0277
Practice Address - Fax:708-535-2995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-16
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011058251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care