MEDICARE: THE ROYAL CARE, INC.

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	9634L001	NY

General Provider Information

NPI Number	:	1619199957
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE ROYAL CARE, INC.

Provider Business Mailing Address
First Line	:	4714 FT. HAMILTON PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219
Country	:	US
Telephone Number	:	718-851-3800
Fax Number	:	718-228-5386

Provider Business Practice Location Address
First Line	:	4714 FT. HAMILTON PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219
Country	:	US
Telephone Number	:	718-851-3800
Fax Number	:	718-228-5386

Authorized Official
Title or Position	:	CEO
Name	:	MR. JOSH KLEIN
Credential	:
Telephone Number	:	718-851-3800

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	08/22/2020

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