Provider Demographics
NPI:1295961373
Name:ROYALTY HEALTHCARE GROUP INC
Entity type:Organization
Organization Name:ROYALTY HEALTHCARE GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RUFINA
Authorized Official - Middle Name:
Authorized Official - Last Name:OKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-564-3455
Mailing Address - Street 1:13711 GARDEN SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-5078
Mailing Address - Country:US
Mailing Address - Phone:281-564-3455
Mailing Address - Fax:281-506-8854
Practice Address - Street 1:13711 GARDEN SPRINGS DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-5078
Practice Address - Country:US
Practice Address - Phone:281-564-3455
Practice Address - Fax:281-506-8854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-03
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX767796253Z00000X, 251G00000X, 251E00000X
251S00000X
TX013545251B00000X, 251T00000X, 251C00000X, 251G00000X, 252Y00000X, 310400000X, 314000000X, 251S00000X, 251J00000X, 251F00000X, 313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No251G00000XAgenciesHospice Care, Community Based
No251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No252Y00000XAgenciesEarly Intervention Provider Agency
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No251J00000XAgenciesNursing Care
No251F00000XAgenciesHome Infusion
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX013545OtherTEXAS DADS