Provider Demographics
NPI:1508501214
Name:ROYAL STAR GROUP, LLC
Entity Type:Organization
Organization Name:ROYAL STAR GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADETUTU
Authorized Official - Middle Name:
Authorized Official - Last Name:KEHINDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-230-6180
Mailing Address - Street 1:903 EIDER CT
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-8941
Mailing Address - Country:US
Mailing Address - Phone:302-230-6180
Mailing Address - Fax:
Practice Address - Street 1:903 EIDER CT
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-8941
Practice Address - Country:US
Practice Address - Phone:302-230-6180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-28
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care