Active NPI
Royalty Home Care Health Care Business
- Mastectomy Fitter
- Gulfport, MS
National Provider Identifier
1023635356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mastectomy Fitter
- Legal business name
- ROYALTY HOME CARE HEALTH CARE BUSINESS
- Practice address
- 1073 Acadian Dr Ste B
Gulfport, MS 39507-3538 - Phone
- (228) 990-9366
- Fax
- (877) 206-2707
- NPI assigned
- Jul 2, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Monica M Conley
- Title
- Director
- Phone
- (228) 697-3417
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | |||
| Mastectomy Fitter | 224900000X | Primary | ||
| Physical Therapy Assistant | 225200000X | |||
| Occupational Therapist | 225X00000X | |||
| Phlebotomy Technician | 246RP1900X | |||
| EEG Specialist/Technologist | 246ZE0500X | |||
| Attendant Care Provider | 3747A0650X | |||
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X | |||
| Nurse's Aide | 376K00000X |
Addresses
Primary practice location
1073 Acadian Dr Ste B
Gulfport, MS 39507-3538
Mailing address
1073 Acadian Dr Ste B
Gulfport, MS 39507-3538
Phone (228) 990-9366
National Provider Directory
National Provider DirectoryLocations
1073 Acadian Dr
Ste B
Gulfport, MS 39507
Phone (228) 990-9366
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602460800000",
"number": "1023635356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1073 ACADIAN DR STE B",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395073538",
"telephone_number": "228-990-9366",
"fax_number": "877-206-2707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1073 ACADIAN DR STE B",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395073538",
"telephone_number": "228-990-9366",
"fax_number": "877-206-2707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROYALTY HOME CARE HEALTH CARE BUSINESS",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-02",
"last_updated": "2020-10-12",
"certification_date": "2020-10-12",
"status": "A",
"authorized_official_last_name": "CONLEY",
"authorized_official_first_name": "MONICA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "228-697-3417"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "224900000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Mastectomy Fitter",
"state": null,
"license": null,
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "246RP1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": false
},
{
"code": "246ZE0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, EEG",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.