Healthcare Provider Details

I. General information

NPI: 1043977754
Provider Name (Legal Business Name): ROYAL HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

1200 MORRIS TPKE STE 3005
SHORT HILLS NJ
07078-2766
US

IV. Provider business mailing address

1200 MORRIS TPKE STE 3005
SHORT HILLS NJ
07078-2766
US

V. Phone/Fax

Practice location:
  • Phone: 800-674-3221
  • Fax: 908-679-5276
Mailing address:
  • Phone: 800-674-3221
  • Fax: 908-679-5276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ELIKEM KAY GLOVER
Title or Position: CEO
Credential:
Phone: 201-989-9777