Provider Demographics
NPI:1891322970
Name:ROYALTY HOME CARE
Entity Type:Organization
Organization Name:ROYALTY HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GYAMFI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:646-988-3938
Mailing Address - Street 1:111 WASHINGTON AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:DUMONT
Mailing Address - State:NJ
Mailing Address - Zip Code:07628-3067
Mailing Address - Country:US
Mailing Address - Phone:201-783-3110
Mailing Address - Fax:
Practice Address - Street 1:111 WASHINGTON AVE STE 208
Practice Address - Street 2:
Practice Address - City:DUMONT
Practice Address - State:NJ
Practice Address - Zip Code:07628-3067
Practice Address - Country:US
Practice Address - Phone:201-783-3110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-26
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty