NPIMap

Organization Active NPI

Royal Care Certified Home Health Care LLC

  • Home Health Agency
  • Flushing, NY
National Provider Identifier
1235529538
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ROYAL CARE CERTIFIED HOME HEALTH CARE LLC
Practice address
3050 Whitestone Expy
Suite 304
Flushing, NY 11354-1964
Phone
(718) 475-1000
NPI assigned
Jan 26, 2015
Last updated
Jul 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Authorized official

Name
Chaim Klein
Title
Ceo
Phone
(718) 534-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3050 Whitestone Expy
Suite 304
Flushing, NY 11354-1964

Mailing address

6323 14TH Ave
Brooklyn, NY 11219-5311
Phone (718) 534-7600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150529000376 NY Part A Provider - Home Health Agency 5395065544 Practice locations: Flushing, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235529538. Details of each certification follow.

Home health agency certification: CCN 337189

Legal name
ROYAL CARE CERTIFIED HOME HEALTH CARE LLC
Doing business as
EMEREST HOME HEALTH CARE OF LONG ISLAND
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 3, 1983
Last certification
Sep 18, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Feb 25, 2014 in NY
Enrollment address
3050 Whitestone Expy
Ste 304
Flushing, NY 11354-1995

Care Compare: Home health agency

Medicare Care Compare
Listed as
Emerest Home Health Care of Long IslandCCN 337189 · All quality measures
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Mar 3, 1983
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
33D2295657Royal Care Certified Home Health Care3050 Whitestone Expressway, Suite 304, Flushing, NY 11354Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

3050 Whitestone Expy
Ste 304
Flushing, NY 11354
Phone 7154751000606

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Rachelle L Kivanoski Individual W-2 Managing EmployeeAdministrator/Director of Patien Mar 2, 2015
Chaim Shea Klein Individual 5% Or Greater Direct Ownership InterestCeo Feb 25, 2014 60%
Corporate OfficerCeo Feb 25, 2014
Yankel Bernath Individual 5% Or Greater Direct Ownership InterestOwner Feb 25, 2014 10%
Corporate OfficerCoo Feb 25, 2014
Faye Klein Individual 5% Or Greater Direct Ownership InterestOwner Feb 25, 2014 30%
Corporate OfficerMember Feb 25, 2014

Practitioners & affiliated clinicians

Affiliated clinicians 211

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 211

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1235529538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6323 14TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112195311",
            "telephone_number": "718-534-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 WHITESTONE EXPY",
            "address_2": "SUITE 304",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541964",
            "telephone_number": "718-475-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL CARE CERTIFIED HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-534-7600"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.