Provider Demographics
NPI:1639245202
Name:ROYALTY CARE HOME HEALTH SERVICES,INC
Entity Type:Organization
Organization Name:ROYALTY CARE HOME HEALTH SERVICES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:FEBRONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LWENJE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-244-4354
Mailing Address - Street 1:3000 JOE DIMAGGIO BLVD BLDG 400 STE 13
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-3989
Mailing Address - Country:US
Mailing Address - Phone:512-244-4254
Mailing Address - Fax:512-255-0314
Practice Address - Street 1:3000 JOE DIMAGGIO BLVD
Practice Address - Street 2:BUILDING 400 SUITE 13
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-3922
Practice Address - Country:US
Practice Address - Phone:512-244-4254
Practice Address - Fax:512-255-0314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-27
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX74-7022Medicare PIN