Provider Demographics
NPI:1174610794
Name:ROYALE HEALTH SYSTEMS, INC.
Entity type:Organization
Organization Name:ROYALE HEALTH SYSTEMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:S
Authorized Official - Last Name:PIMENTEL
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:702-791-0030
Mailing Address - Street 1:8645 S EASTERN AVE
Mailing Address - Street 2:BLDG 110 STE.100B
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-2829
Mailing Address - Country:US
Mailing Address - Phone:702-791-0030
Mailing Address - Fax:702-791-0031
Practice Address - Street 1:8645 S EASTERN AVE
Practice Address - Street 2:BLDG 110 STE. 100B
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-2829
Practice Address - Country:US
Practice Address - Phone:702-791-0030
Practice Address - Fax:702-791-0031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
NV3312HHA-12251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV297097Medicare Oscar/Certification