MEDICARE: ROYAL MAJESTY HOME 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	058205	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669478020
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROYAL MAJESTY HOME CARE, INC

Provider Business Mailing Address
First Line	:	3939 ATLANTIC AVE STE 212
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-3535
Country	:	US
Telephone Number	:	562-492-9600
Fax Number	:	562-492-9377

Provider Business Practice Location Address
First Line	:	3939 ATLANTIC AVE STE 212
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-3535
Country	:	US
Telephone Number	:	562-492-9600
Fax Number	:	562-492-9377

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	ROMMEL ALCANTARA
Credential	:
Telephone Number	:	562-492-9600

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	07/28/2021

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