Provider Demographics
NPI:1790551851
Name:ROYALCARENURSES HOMECARE LLC
Entity Type:Organization
Organization Name:ROYALCARENURSES HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RACHAEL
Authorized Official - Middle Name:ADEFISAYO
Authorized Official - Last Name:OJEDIRAN
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:804-636-6162
Mailing Address - Street 1:3209 GARLAND AVE
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL
Mailing Address - State:VA
Mailing Address - Zip Code:23860-6917
Mailing Address - Country:US
Mailing Address - Phone:804-636-6162
Mailing Address - Fax:
Practice Address - Street 1:3209 GARLAND AVE
Practice Address - Street 2:
Practice Address - City:HOPEWELL
Practice Address - State:VA
Practice Address - Zip Code:23860-6917
Practice Address - Country:US
Practice Address - Phone:804-636-6162
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-30
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care