Healthcare Provider Details

I. General information

NPI: 1235058991
Provider Name (Legal Business Name): ROYALE EMPOWERMENT FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6556 CHARDONAY WAY
LAS VEGAS NV
89108-5372
US

IV. Provider business mailing address

6556 CHARDONAY WAY
LAS VEGAS NV
89108-5372
US

V. Phone/Fax

Practice location:
  • Phone: 628-249-3457
  • Fax:
Mailing address:
  • Phone: 628-249-3457
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ROYALE JOHNSON
Title or Position: CEO
Credential:
Phone: 628-249-3457