Provider Demographics
NPI:1972040434
Name:ROYAL HOMECARE LLC
Entity Type:Organization
Organization Name:ROYAL HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIKEM
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:GLOVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-668-2317
Mailing Address - Street 1:1 GATEWAY CTR
Mailing Address - Street 2:SUITE 2600
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07102-5310
Mailing Address - Country:US
Mailing Address - Phone:800-668-2317
Mailing Address - Fax:800-668-2517
Practice Address - Street 1:1 GATEWAY CTR
Practice Address - Street 2:SUITE 2600
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-5310
Practice Address - Country:US
Practice Address - Phone:800-668-2317
Practice Address - Fax:800-668-2517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-23
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP246600251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health