Provider Demographics
NPI:1508590043
Name:ROYAL HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:ROYAL HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MADHAVI
Authorized Official - Middle Name:
Authorized Official - Last Name:VAMARAJU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-893-6113
Mailing Address - Street 1:43109 EDGEWATER ST
Mailing Address - Street 2:
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20152-3401
Mailing Address - Country:US
Mailing Address - Phone:240-893-6113
Mailing Address - Fax:
Practice Address - Street 1:43109 EDGEWATER ST
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20152-3401
Practice Address - Country:US
Practice Address - Phone:240-893-6113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-11
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health