Provider Demographics
NPI:1952996761
Name:ROYAL HEALTH CARE SERVICES
Entity type:Organization
Organization Name:ROYAL HEALTH CARE SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KIMERIA
Authorized Official - Suffix:
Authorized Official - Credentials:FOUNDER
Authorized Official - Phone:407-535-8148
Mailing Address - Street 1:713 W NEW YORK AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32720-5201
Mailing Address - Country:US
Mailing Address - Phone:386-624-6933
Mailing Address - Fax:386-401-2446
Practice Address - Street 1:230 E NEW YORK AVE
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32724-5522
Practice Address - Country:US
Practice Address - Phone:386-624-6933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-03
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL112829500Medicaid
FL299995191Medicaid
FL115905400Medicaid