MEDICARE: ROYALCARE, 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

General Provider Information

NPI Number	:	1649328857
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROYALCARE, INC.

Provider Business Mailing Address
First Line	:	7125 ORCHARD LAKE RD
Second Line	:	SUITE 303
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-3615
Country	:	US
Telephone Number	:	248-626-9229
Fax Number	:	248-626-9230

Provider Business Practice Location Address
First Line	:	7125 ORCHARD LAKE RD
Second Line	:	SUITE 303
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-3615
Country	:	US
Telephone Number	:	248-626-9229
Fax Number	:	248-626-9230

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. BAHRAM NADIM
Credential	:	P.T.
Telephone Number	:	248-310-2438

Provider Enumeration Date	:	01/07/2007
Last Update Date	:	10/21/2020

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