Healthcare Provider Details

I. General information

NPI: 1427848084
Provider Name (Legal Business Name): ROYALTY HEALTHCARE STAFFING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2025
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 INTERNATIONAL DR
BLOOMINGTON MN
55425-1510
US

IV. Provider business mailing address

7900 INTERNATIONAL DR STE 300
BLOOMINGTON MN
55425-2562
US

V. Phone/Fax

Practice location:
  • Phone: 952-456-0054
  • Fax:
Mailing address:
  • Phone: 952-456-0054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: IISHA LAKEYIA JONES
Title or Position: OWNER
Credential:
Phone: 763-245-9359