Provider Demographics
NPI:1407336225
Name:ROYAL CARE HOME CARE SRVICES LLC
Entity Type:Organization
Organization Name:ROYAL CARE HOME CARE SRVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ASANTE-ANSONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-731-4388
Mailing Address - Street 1:3530 BUCHANAN HILL LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-5354
Mailing Address - Country:US
Mailing Address - Phone:703-731-4388
Mailing Address - Fax:
Practice Address - Street 1:5701 4TH ST STE 19
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-2432
Practice Address - Country:US
Practice Address - Phone:703-731-4388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-21
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health