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NPI Code Detail

MEDICARE: ROYALE HEALTH CARE CENTER INC.

MEDICARE: ROYALE HEALTH CARE CENTER 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
1314000000XSkilled Nursing Facility060000165CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770584328
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROYALE HEALTH CARE CENTER INC.
Provider Business Mailing Address
First Line : 1030 W WARNER AVE
Second Line :
City : SANTA ANA
State : CA
Zip : 92707-3147
Country : US
Telephone Number : 714-546-6450
Fax Number : 714-546-8411
Provider Business Practice Location Address
First Line : 1030 W WARNER AVE
Second Line :
City : SANTA ANA
State : CA
Zip : 92707-3147
Country : US
Telephone Number : 714-546-6450
Fax Number : 714-546-8411
Authorized Official
Title or Position : VICE PRESIDENT
Name : MR. DONALD PATRICK CONNELLY JR.
Credential :
Telephone Number : 714-546-6450
Provider Enumeration Date : 08/04/2005
Last Update Date : 06/10/2008

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