Healthcare Provider Details

I. General information

NPI: 1578428009
Provider Name (Legal Business Name): ROYAL HEALTH CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5010 SUNNYSIDE AVE STE 102
BELTSVILLE MD
20705-2320
US

IV. Provider business mailing address

5010 SUNNYSIDE AVE STE 102
BELTSVILLE MD
20705-2320
US

V. Phone/Fax

Practice location:
  • Phone: 301-379-1564
  • Fax:
Mailing address:
  • Phone: 301-379-1564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3140N1450X
TaxonomyPediatric Skilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: GREGORY A OGBUE
Title or Position: PROGRAM ADMINISTRATOR
Credential:
Phone: 301-379-1564