Provider Demographics
NPI:1235529538
Name:ROYAL CARE CERTIFIED HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:ROYAL CARE CERTIFIED HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHAIM
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-534-7600
Mailing Address - Street 1:6323 14TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-5311
Mailing Address - Country:US
Mailing Address - Phone:718-534-7600
Mailing Address - Fax:
Practice Address - Street 1:3050 WHITESTONE EXPY
Practice Address - Street 2:SUITE 304
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-1964
Practice Address - Country:US
Practice Address - Phone:718-475-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-26
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health