MEDICARE: THE ROYAL CARE FI 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

General Provider Information

NPI Number	:	1437541133
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE ROYAL CARE FI LLC

Provider Business Mailing Address
First Line	:	6323 14TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-5311
Country	:	US
Telephone Number	:	718-534-7600
Fax Number	:

Provider Business Practice Location Address
First Line	:	6323 14TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-5311
Country	:	US
Telephone Number	:	718-534-7600
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. CHAIM S KLEIN
Credential	:
Telephone Number	:	718-534-7600

Provider Enumeration Date	:	03/04/2015
Last Update Date	:	03/04/2015

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