Healthcare Provider Details

I. General information

NPI: 1972040434
Provider Name (Legal Business Name): ROYAL HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2017
Last Update Date: 11/17/2021
Certification Date: 11/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GATEWAY CTR SUITE 2600
NEWARK NJ
07102-5310
US

IV. Provider business mailing address

1 GATEWAY CTR SUITE 2600
NEWARK NJ
07102-5310
US

V. Phone/Fax

Practice location:
  • Phone: 800-668-2317
  • Fax: 800-668-2517
Mailing address:
  • Phone: 800-668-2317
  • Fax: 800-668-2517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHP246600
License Number StateNJ

VIII. Authorized Official

Name: MS. ELIKEM KAY GLOVER
Title or Position: CEO
Credential:
Phone: 800-668-2317