Healthcare Provider Details

I. General information

NPI: 1295961373
Provider Name (Legal Business Name): ROYALTY HEALTHCARE GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2009
Last Update Date: 05/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13711 GARDEN SPRINGS DR
HOUSTON TX
77083-5078
US

IV. Provider business mailing address

13711 GARDEN SPRINGS DR
HOUSTON TX
77083-5078
US

V. Phone/Fax

Practice location:
  • Phone: 281-564-3455
  • Fax: 281-506-8854
Mailing address:
  • Phone: 281-564-3455
  • Fax: 281-506-8854

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number013545
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number013545
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number767796
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number013545
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number767796
License Number StateTX
# 6
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number013545
License Number StateTX
# 7
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number013545
License Number StateTX
# 8
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 9
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number013545
License Number StateTX
# 10
Primary TaxonomyN
Taxonomy Code251T00000X
TaxonomyPACE Provider Organization
License Number013545
License Number StateTX
# 11
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number013545
License Number StateTX
# 12
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number767796
License Number StateTX
# 13
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number013545
License Number StateTX
# 14
Primary TaxonomyN
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number013545
License Number StateTX
# 15
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number013545
License Number StateTX

VIII. Authorized Official

Name: RUFINA OKO
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 281-564-3455