Provider Demographics
NPI:1801062401
Name:ROYAL HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:ROYAL HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:IVORY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-263-0769
Mailing Address - Street 1:83 BERRY PL
Mailing Address - Street 2:
Mailing Address - City:LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07740-7516
Mailing Address - Country:US
Mailing Address - Phone:732-263-0769
Mailing Address - Fax:732-263-0769
Practice Address - Street 1:83 BERRY PL
Practice Address - Street 2:
Practice Address - City:LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07740-7516
Practice Address - Country:US
Practice Address - Phone:732-263-0769
Practice Address - Fax:732-263-0769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-02
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0112800251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health