Active NPI
Royal Home Health Care Inc
- Home Health Agency
- Carrollton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 009472
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Incorporated
- Ownership
- Proprietary
- Certified
- Jan 30, 2006
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1032682 | Royal Home Health Care | Certificate of waiver | Oct 26, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Baiju Issac | 5% Or Greater Direct Ownership Interest | Sep 13, 2019 | 50% |
| Corporate Officer | Sep 14, 2019 | 50% | |
| Corporate Director | Sep 14, 2019 | 50% | |
| Operational/Managerial Control | Sep 14, 2019 | ||
| Royal Home Health Care Inc | 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 | 5% Or Greater Direct Ownership Interest | Sep 13, 2019 | 50% |
| Corporate Officer | 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.
-
- Ophthalmic Registered Nurse
- Dallas, TX
- NPI 1174983662
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.