MEDICARE: ROYALE HOME HEALTH 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	251E00000X	Home Health Agency	NONE	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	INITIAL CERTIFCATION	OTHER	OH	MEDICARE HOME HEALTH AGENCY

General Provider Information

NPI Number	:	1295989309
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROYALE HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	6314 BUSCH BLVD
Second Line	:	160
City	:	COLUMBUS
State	:	OH
Zip	:	43229-1809
Country	:	US
Telephone Number	:	614-893-2450
Fax Number	:

Provider Business Practice Location Address
First Line	:	6314 BUSCH BLVD
Second Line	:	160
City	:	COLUMBUS
State	:	OH
Zip	:	43229-1809
Country	:	US
Telephone Number	:	614-893-2450
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR/CEO
Name	:	MR. JOEL C DENNIS
Credential	:
Telephone Number	:	614-893-2450

Provider Enumeration Date	:	11/17/2008
Last Update Date	:	04/30/2009

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Directions to “ROYALE HOME HEALTH CARE LLC ” Practice Location

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