Organization Active NPI

Royal Home Care, Inc

  • Home Health Agency
  • Thousand Oaks, CA
National Provider Identifier
1366613325
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550000519 Issued in CA
Legal business name
ROYAL HOME CARE, INC
Practice address
2393 Townsgate Rd Ste 200
Thousand Oaks, CA 91361-2517
Phone
(805) 230-3033
Fax
(805) 230-1007
NPI assigned
Mar 18, 2008
Last updated
Aug 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Authorized official

Name
Julie Root, RN
Title
President
Phone
(805) 230-3033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550000519 CA Primary

Addresses

Primary practice location

2393 Townsgate Rd Ste 200
Thousand Oaks, CA 91361-2517

Mailing address

2393 Townsgate Rd Ste 200
Thousand Oaks, CA 91361-2517
Phone (805) 230-3033

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060124001001 CA Part A Provider - Home Health Agency 0143244525 Practice locations: Thousand Oaks, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366613325. Details of each certification follow.

Home health agency certification: CCN 058431

Legal name
ROYAL HOME CARE INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 1, 2008
Last certification
Oct 23, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 30, 2005 in CA
Enrollment address
2393 Townsgate Rd
Ste 200
Thousand Oaks, CA 91361-2517

Care Compare: Home health agency

Medicare Care Compare
Listed as
Royal Home Care IncCCN 058431 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Feb 1, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

2393 Townsgate Rd
Ste 200
Westlake Village, CA 91361
Phone (805) 230-3033

870 Hampshire Rd
Ste X
Westlake Village, CA 91361
Phone (310) 997-7344

870 Hampshire Rd
Ste P
Westlake Vlg, CA 91361
Phone (805) 230-3033

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Julie Root Individual 5% Or Greater Direct Ownership Interest Feb 2, 2011 100%
Corporate DirectorCeo Feb 1, 2006 100%
W-2 Managing EmployeeAdministrator/DPCS Feb 2, 2011 100%
Dmitry Uchitel Individual W-2 Managing EmployeeAdministrator/Designee Sep 23, 2011

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 9

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

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1366613325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2393 TOWNSGATE RD STE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913612517",
            "telephone_number": "805-230-3033",
            "fax_number": "805-230-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2393 TOWNSGATE RD STE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913612517",
            "telephone_number": "805-230-3033",
            "fax_number": "805-230-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "ROOT",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-230-3033",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.