Provider Demographics
NPI:1235741554
Name:ROYAL HEARTS HEALTHCARE
Entity Type:Organization
Organization Name:ROYAL HEARTS HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:APPIAH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:862-250-6680
Mailing Address - Street 1:PO BOX 589
Mailing Address - Street 2:
Mailing Address - City:LODI
Mailing Address - State:NJ
Mailing Address - Zip Code:07644-0589
Mailing Address - Country:US
Mailing Address - Phone:862-250-6680
Mailing Address - Fax:862-250-6685
Practice Address - Street 1:2 MERCER ST STE 9
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:NJ
Practice Address - Zip Code:07644-1601
Practice Address - Country:US
Practice Address - Phone:862-250-6680
Practice Address - Fax:862-250-6685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health