MEDICARE: ROYAL HOME CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1093300683
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROYAL HOME CARE, LLC

Provider Business Mailing Address
First Line	:	2415 PENNY RD STE 204
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-8123
Country	:	US
Telephone Number	:	336-899-6258
Fax Number	:	336-450-1738

Provider Business Practice Location Address
First Line	:	2415 PENNY RD STE 204
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-8123
Country	:	US
Telephone Number	:	336-899-6258
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HOMA N SANYASI
Credential	:
Telephone Number	:	336-899-6258

Provider Enumeration Date	:	03/04/2021
Last Update Date	:	05/06/2022

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