Provider Demographics
NPI:1821504101
Name:ROYAL REGENCY HOME HEALTH, INC.
Entity Type:Organization
Organization Name:ROYAL REGENCY HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:TRDATYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-660-0260
Mailing Address - Street 1:1447 E COLORADO ST STE D
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-1595
Mailing Address - Country:US
Mailing Address - Phone:818-660-0260
Mailing Address - Fax:
Practice Address - Street 1:1447 E COLORADO ST STE D
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-1595
Practice Address - Country:US
Practice Address - Phone:818-660-0260
Practice Address - Fax:818-660-0276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-21
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health