Royal Health Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ROYAL HEALTH SERVICES, LLC

Practice address

3542 Sullivant Ave
Columbus, OH 43204-1106

Phone

(614) 826-1316

Fax

(740) 888-0391

NPI assigned

Mar 23, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Siad I Shaban

Title

Ceo

Phone

(614) 826-1316

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 369010

Legal name

ROYAL HEALTH SERVICES, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 17, 2013

Last certification

Feb 7, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jun 7, 2016 in OH

Enrollment address

3542 Sullivant Ave
Columbus, OH 43204-1106

Listed as

Royal Health Services, LLCCCN 369010 · All quality measures

Ownership

Proprietary

Certified

May 17, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575244800000",
    "number": "1083913594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3542 SULLIVANT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432041106",
            "telephone_number": "614-826-1316",
            "fax_number": "740-888-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3542 SULLIVANT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432041106",
            "telephone_number": "614-826-1316",
            "fax_number": "740-888-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2019-12-02",
        "status": "A",
        "authorized_official_last_name": "SHABAN",
        "authorized_official_first_name": "SIAD",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-826-1316",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083913594",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Roy, OD, MPH
• Priya Mulgaokar Roy, M.D.
• Richard A. Roy, M.D.
• Royal Crown Groups LLC
• Royal Health Care Services LLC
• Royal Healthcare Service
• Royal Homecare Services LLC
• Royal Integrated Support Services LLC
• Royal Medical Transportation
• Royal Oaks Care Services, LLC

• Home Health Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.