Provider Demographics
NPI:1235776063
Name:ROYAL HOMECARE LLC
Entity Type:Organization
Organization Name:ROYAL HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELIKEM
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:GLOVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-668-2317
Mailing Address - Street 1:22 ELIZABETH AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07108-2828
Mailing Address - Country:US
Mailing Address - Phone:973-991-3736
Mailing Address - Fax:
Practice Address - Street 1:22 ELIZABETH AVE FL 2
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07108-2828
Practice Address - Country:US
Practice Address - Phone:908-696-3288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-27
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health