Provider Demographics
NPI:1295398857
Name:ROYAL CARINGHANDS HOME HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:ROYAL CARINGHANDS HOME HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LATEEF
Authorized Official - Middle Name:
Authorized Official - Last Name:OLARINDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-350-4496
Mailing Address - Street 1:8240 RUSSELL AVE N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55444-1518
Mailing Address - Country:US
Mailing Address - Phone:763-561-1819
Mailing Address - Fax:
Practice Address - Street 1:5548 LOGAN AVE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55430-3066
Practice Address - Country:US
Practice Address - Phone:763-350-4496
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-19
Last Update Date:2019-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care