MEDICARE: ROYAL HHC

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	:	1477216307
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROYAL HHC

Provider Business Mailing Address
First Line	:	11240 MAGNOLIA BLVD STE 201
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-3790
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11240 MAGNOLIA BLVD STE 201
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-3790
Country	:	US
Telephone Number	:	747-333-6108
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	KARAPET MANUKYAN
Credential	:
Telephone Number	:	747-333-6108

Provider Enumeration Date	:	10/18/2021
Last Update Date	:	10/18/2021

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Directions to “ROYAL HHC ” Practice Location

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