Provider Demographics
NPI:1720402191
Name:ROYAL COMFORT HOME CARE INC
Entity Type:Organization
Organization Name:ROYAL COMFORT HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARLSTROM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-688-6917
Mailing Address - Street 1:280 MERRIMACK ST STE 530
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01843-1779
Mailing Address - Country:US
Mailing Address - Phone:978-688-6917
Mailing Address - Fax:
Practice Address - Street 1:280 MERRIMACK ST STE 530
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843-1779
Practice Address - Country:US
Practice Address - Phone:978-688-6917
Practice Address - Fax:978-686-2387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-06
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health