Provider Demographics
NPI:1902377336
Name:ROYAL HOMECARE AND STAFFING LLC
Entity Type:Organization
Organization Name:ROYAL HOMECARE AND STAFFING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PHIONA
Authorized Official - Middle Name:QUINCY
Authorized Official - Last Name:BAREEBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-703-6078
Mailing Address - Street 1:2288 BLUE WATER BLVD.
Mailing Address - Street 2:SUITE 327
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113
Mailing Address - Country:US
Mailing Address - Phone:410-216-0307
Mailing Address - Fax:443-458-6273
Practice Address - Street 1:2288 BLUE WATER BLVD.
Practice Address - Street 2:SUITE 327
Practice Address - City:ODENTON
Practice Address - State:MD
Practice Address - Zip Code:21113
Practice Address - Country:US
Practice Address - Phone:410-216-0307
Practice Address - Fax:443-458-6273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-11
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing CareGroup - Multi-Specialty