Provider Demographics
NPI:1578507224
Name:ROYAL INC
Entity Type:Organization
Organization Name:ROYAL INC
Other - Org Name:VALLEY VIEW HEALTH CARE FACILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:CAUBARREAUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-253-6553
Mailing Address - Street 1:PO BOX 629
Mailing Address - Street 2:
Mailing Address - City:MARKSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71351-0629
Mailing Address - Country:US
Mailing Address - Phone:318-253-6553
Mailing Address - Fax:318-253-4946
Practice Address - Street 1:7119 HWY 1 SOUTH
Practice Address - Street 2:
Practice Address - City:MARKSVILLE
Practice Address - State:LA
Practice Address - Zip Code:71351
Practice Address - Country:US
Practice Address - Phone:318-253-6553
Practice Address - Fax:318-253-4946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA351314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1514675Medicaid
LA1514675Medicaid