Provider Demographics
NPI:1841014743
Name:ROYAL REGISTRY INC.
Entity type:Organization
Organization Name:ROYAL REGISTRY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGEMENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-924-8637
Mailing Address - Street 1:9745 QUEENS BLVD APT 505
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-2184
Mailing Address - Country:US
Mailing Address - Phone:646-924-8637
Mailing Address - Fax:914-840-1180
Practice Address - Street 1:9745 QUEENS BLVD APT 505
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-2184
Practice Address - Country:US
Practice Address - Phone:646-924-8637
Practice Address - Fax:914-840-1180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health