Healthcare Provider Details

I. General information

NPI: 1952287005
Provider Name (Legal Business Name): ROYAL VALLEY HUMAN SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 08/14/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7300 42ND AVE N
NEW HOPE MN
55427-1318
US

IV. Provider business mailing address

7300 42ND AVE N
NEW HOPE MN
55427-1318
US

V. Phone/Fax

Practice location:
  • Phone: 301-768-7030
  • Fax:
Mailing address:
  • Phone: 301-768-7030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: FARAH AHMED
Title or Position: CEO/FOUNDER
Credential:
Phone: 301-768-7030