Provider Demographics
NPI:1619961059
Name:ROYALE HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:ROYALE HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSEMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:AMPIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-369-7475
Mailing Address - Street 1:2626 FOOTHILL BLVD STE 280
Mailing Address - Street 2:
Mailing Address - City:LA CRESCENTA
Mailing Address - State:CA
Mailing Address - Zip Code:91214-4570
Mailing Address - Country:US
Mailing Address - Phone:818-369-7475
Mailing Address - Fax:818-369-7476
Practice Address - Street 1:2626 FOOTHILL BLVD STE 280
Practice Address - Street 2:
Practice Address - City:LA CRESCENTA
Practice Address - State:CA
Practice Address - Zip Code:91214-4570
Practice Address - Country:US
Practice Address - Phone:818-369-7475
Practice Address - Fax:818-369-7476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-31
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA980001534251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA058274Medicare Oscar/Certification