Provider Demographics
NPI:1134980550
Name:ROYALTY FAMILY HOME CARE LLC
Entity type:Organization
Organization Name:ROYALTY FAMILY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LERONA
Authorized Official - Middle Name:S
Authorized Official - Last Name:PRYOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-334-8739
Mailing Address - Street 1:3300 PAMPUS LN APT 302
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-6113
Mailing Address - Country:US
Mailing Address - Phone:757-334-8739
Mailing Address - Fax:
Practice Address - Street 1:1624 LASKIN RD STE 736
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-7510
Practice Address - Country:US
Practice Address - Phone:757-334-8739
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health