Organization Active NPI

Royale Realty LLC

  • Adult Care Home Facility
  • Lake Stevens, WA
National Provider Identifier
1366259178
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
ROYALE REALTY LLC
Practice address
929 89TH Ave SE
Lake Stevens, WA 98258-3745
Phone
(425) 609-3944
Fax
(425) 589-0452
NPI assigned
Dec 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Aishat Shittu, RN
Title
Member
Phone
(425) 609-3944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

929 89TH Ave SE
Lake Stevens, WA 98258-3745

Mailing address

929 89TH Ave SE
Lake Stevens, WA 98258-3745
Phone (425) 609-3944

Other names 1

  • Royal home care Doing business as

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
50D2337016Royal Home Care929 89TH Ave SE, Lake Stevens, WA 98258Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1366259178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 89TH AVE SE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982583745",
            "telephone_number": "425-609-3944",
            "fax_number": "425-589-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 89TH AVE SE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982583745",
            "telephone_number": "425-609-3944",
            "fax_number": "425-589-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYALE REALTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "SHITTU",
        "authorized_official_first_name": "AISHAT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "425-609-3944",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal home care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Royal home care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Stevens, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.