MEDICARE: ROYAL CARINGHANDS HOME HEALTHCARE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251J00000X	Nursing Care Agency
2	251S00000X	Community/Behavioral Health Agency
3	253Z00000X	In Home Supportive Care Agency
4	385H00000X	Respite Care
5	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1659950228
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROYAL CARINGHANDS HOME HEALTHCARE SERVICES

Provider Business Mailing Address
First Line	:	8240 RUSSELL AVENUE NORTH
Second Line	:
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55444
Country	:	US
Telephone Number	:	763-283-0646
Fax Number	:	612-435-0196

Provider Business Practice Location Address
First Line	:	5548 LOGAN AVENUE NORTH
Second Line	:
City	:	BROOKLYN CENTERER
State	:	MN
Zip	:	55430
Country	:	US
Telephone Number	:	763-283-0646
Fax Number	:	612-435-0196

Authorized Official
Title or Position	:	AUTHORIZED AGENT
Name	:	LATEEF AYODELE OLARINDE
Credential	:
Telephone Number	:	763-350-4496

Provider Enumeration Date	:	04/02/2021
Last Update Date	:	04/02/2021

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