Organization Active NPI

Royal Home Health Care Inc

  • Home Health Agency
  • Carrollton, TX
National Provider Identifier
1093935546
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009472 Issued in TX
Legal business name
ROYAL HOME HEALTH CARE INC
Practice address
1930 E Rosemeade Pkwy Ste 204a
Carrollton, TX 75007-2468
Phone
(972) 247-9001
Fax
(972) 247-9002
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Authorized official

Name
Stanly Simon
Title
Administrator
Phone
(972) 734-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 009472 TX Primary

Addresses

Primary practice location

1930 E Rosemeade Pkwy Ste 204a
Carrollton, TX 75007-2468

Mailing address

1930 E Rosemeade Pkwy Ste 204a
Carrollton, TX 75007-2468
Phone (972) 247-9001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041119000234 TX Part A Provider - Home Health Agency 5092779959 Practice locations: Carrollton, TX

Home health agency certification: CCN 457987

Legal name
ROYAL HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 30, 2006
Last certification
Oct 12, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 3, 2004 in TX
Enrollment address
1930 E Rosemeade Pkwy
Ste 204a
Carrollton, TX 75007-2468

Care Compare: Home health agency

Medicare Care Compare
Listed as
Royal Home Health Care, IncorporatedCCN 457987
Ownership
Proprietary
Certified
Jan 30, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1032682Royal Home Health Care1930 E Rosemeade Pkwy Suite 204a, Carrollton, TX 75007Certificate of waiverOct 26, 2026

National Provider Directory

National Provider Directory

Locations

1930 E Rosemeade Pkwy
Ste 204A
Carrollton, TX 75007
Phone (972) 247-9001

4020 Huffines Blvd
Ste 100
Carrollton, TX 75010
Phone (972) 247-9001

2735 Villa Creek Dr
Ste 294
Dallas, TX 75234
Phone (972) 247-9001

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Baiju Issac Individual 5% Or Greater Direct Ownership Interest Sep 13, 2019 50%
Corporate OfficerAsst Admin Sep 14, 2019 50%
Corporate DirectorDon Sep 14, 2019 50%
Operational/Managerial Control Sep 14, 2019
Royal Home Health Care Inc Organization, Carrollton, TX Created for acquisition, Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 13, 2019 100%
5% Or Greater Security Interest Sep 13, 2019 100%
Operational/Managerial Control Sep 13, 2019 100%
Sushilkumar Oottukandathil Individual 5% Or Greater Direct Ownership Interest Sep 13, 2019 50%
Corporate OfficerAdmin Sep 14, 2019 50%

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": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1093935546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 E ROSEMEADE PKWY STE 204A",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072468",
            "telephone_number": "972-247-9001",
            "fax_number": "972-247-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 E ROSEMEADE PKWY STE 204A",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072468",
            "telephone_number": "972-247-9001",
            "fax_number": "972-247-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "STANLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-734-5900"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.