Organization Active NPI

Royal Divine Services, LLC.,

  • In Home Supportive Care Agency
  • Farmington Hills, MI
National Provider Identifier
1336847052
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ROYAL DIVINE SERVICES, LLC.,
Practice address
30017 Shiawassee Rd
Farmington Hills, MI 48336-3555
Phone
(248) 880-6188
Fax
(734) 589-8782
NPI assigned
Feb 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Nkemakonam Obiora
Title
Owner
Phone
(248) 880-6188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

30017 Shiawassee Rd
Farmington Hills, MI 48336-3555

Mailing address

546 Cherry Orchard Rd
Canton, MI 48188-5269
Phone (248) 880-6188

Other practice location 1

13 W Broadway St
Ecorse, MI 48229-1541
Phone (248) 880-6188

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1336847052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 CHERRY ORCHARD RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481885269",
            "telephone_number": "248-880-6188",
            "fax_number": "734-589-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30017 SHIAWASSEE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483363555",
            "telephone_number": "248-880-6188",
            "fax_number": "734-589-8782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 W Broadway St",
            "address_purpose": "LOCATION",
            "city": "Ecorse",
            "state": "MI",
            "postal_code": "482291541",
            "country_code": "US",
            "telephone_number": "248-880-6188",
            "fax_number": "734-589-8782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROYAL DIVINE SERVICES, LLC.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "OBIORA",
        "authorized_official_first_name": "NKEMAKONAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-880-6188"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.