MEDICARE: ROYULTY BY DEZIGN ENTERPRIZE INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	177F00000X	Lodging Provider
3	251B00000X	Case Management Agency
4	251E00000X	Home Health Agency
5	251K00000X	Public Health or Welfare Agency
6	253Z00000X	In Home Supportive Care Agency
7	275N00000X	Medicare Defined Swing Bed Hospital Unit
8	305S00000X	Point of Service
9	310400000X	Assisted Living Facility
10	3104A0630X	Assisted Living Facility (Behavioral Disturbances)
11	343900000X	Non-emergency Medical Transport (VAN)
12	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1942072822
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROYULTY BY DEZIGN ENTERPRIZE INC

Provider Business Mailing Address
First Line	:	15411 W WADDELL RD
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85379-5170
Country	:	US
Telephone Number	:	480-400-3544
Fax Number	:

Provider Business Practice Location Address
First Line	:	15411 W WADDELL RD STE 1326
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85379-5170
Country	:	US
Telephone Number	:	480-400-3825
Fax Number	:

Authorized Official
Title or Position	:	HOME HEALTH ADMINISTRATOR
Name	:	TANAEA E WRIGHT
Credential	:
Telephone Number	:	480-400-3544

Provider Enumeration Date	:	10/24/2023
Last Update Date	:	03/05/2025

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Directions to “ROYULTY BY DEZIGN ENTERPRIZE INC ” Practice Location

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