Provider Demographics
NPI:1831758291
Name:ROYAL CARE OF WESTCHESTER LLC
Entity type:Organization
Organization Name:ROYAL CARE OF WESTCHESTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAGDISH
Authorized Official - Middle Name:
Authorized Official - Last Name:MITTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-468-6420
Mailing Address - Street 1:77 KNOLLWOOD RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10607-1818
Mailing Address - Country:US
Mailing Address - Phone:914-468-6420
Mailing Address - Fax:
Practice Address - Street 1:92 WAVERLY ST
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-3903
Practice Address - Country:US
Practice Address - Phone:914-468-6420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-10
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care