MEDICARE: ROYALE HOME HEALTH CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	980001534	CA

General Provider Information

NPI Number	:	1619961059
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROYALE HOME HEALTH CARE INC

Provider Business Mailing Address
First Line	:	2626 FOOTHILL BLVD STE 280
Second Line	:
City	:	LA CRESCENTA
State	:	CA
Zip	:	91214-4570
Country	:	US
Telephone Number	:	818-369-7475
Fax Number	:	818-369-7476

Provider Business Practice Location Address
First Line	:	2626 FOOTHILL BLVD STE 280
Second Line	:
City	:	LA CRESCENTA
State	:	CA
Zip	:	91214-4570
Country	:	US
Telephone Number	:	818-369-7475
Fax Number	:	818-369-7476

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	MRS. ROSEMARIE AMPIL
Credential	:
Telephone Number	:	818-369-7475

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	05/05/2020

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