Healthcare Provider Details

I. General information

NPI: 1639047871
Provider Name (Legal Business Name): ROYAL OAKS HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2025
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 W PALMETTO PARK RD STE 210
BOCA RATON FL
33433-3430
US

IV. Provider business mailing address

7000 W PALMETTO PARK RD STE 210
BOCA RATON FL
33433-3430
US

V. Phone/Fax

Practice location:
  • Phone: 561-502-5919
  • Fax: 754-778-5672
Mailing address:
  • Phone: 561-502-5919
  • Fax: 754-778-5672

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: IAKOV FOMIN
Title or Position: ADMINISTRATOR
Credential:
Phone: 561-502-2599