Provider Demographics
NPI:1730338195
Name:ROYAL CARE HOME HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:ROYAL CARE HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ERGIDIO
Authorized Official - Middle Name:A
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-362-6324
Mailing Address - Street 1:11890 NW 87 CT.
Mailing Address - Street 2:BAY 4
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33018-1984
Mailing Address - Country:US
Mailing Address - Phone:305-362-6324
Mailing Address - Fax:305-362-6325
Practice Address - Street 1:11890 NW 87 CT.
Practice Address - Street 2:BAY 4
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33018-1984
Practice Address - Country:US
Practice Address - Phone:305-362-6324
Practice Address - Fax:305-362-6325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-10
Last Update Date:2015-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
FL299993448251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health