Healthcare Provider Details

I. General information

NPI: 1154872992
Provider Name (Legal Business Name): ROYALTY HOME CARE AGENCY,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2016
Last Update Date: 10/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4787 LAKE ARJARO DR
WEST PALM BEACH FL
33407-1762
US

IV. Provider business mailing address

PO BOX 222742
WEST PALM BEACH FL
33422-2742
US

V. Phone/Fax

Practice location:
  • Phone: 561-436-8725
  • Fax: 561-623-7866
Mailing address:
  • Phone: 561-436-8725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: HATTIE MARIE ROBERSON
Title or Position: PRESIDENT
Credential:
Phone: 561-436-8725