Provider Demographics
NPI:1346911856
Name:ROYAL BLISS HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:ROYAL BLISS HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TEMITOPE
Authorized Official - Middle Name:
Authorized Official - Last Name:GANSAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-918-6644
Mailing Address - Street 1:8308 BIG STONE CT
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76123-1877
Mailing Address - Country:US
Mailing Address - Phone:817-918-6644
Mailing Address - Fax:
Practice Address - Street 1:8308 BIG STONE CT
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76123-1877
Practice Address - Country:US
Practice Address - Phone:817-918-6644
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-23
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care