Active NPI
Royalty Care Home Health Services LLC
- Home Health Agency
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ROYALTY CARE HOME HEALTH SERVICES LLC
- Practice address
- 12734 Kenwood Lane
5 And 6
Fort Myers, FL 33907 - Phone
- (239) 243-0512
- Fax
- (239) 437-9730
- NPI assigned
- Apr 30, 2014
- 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
- Rosalba Pinero, RN
- Title
- Administrator
- Phone
- (239) 243-0512
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
12734 Kenwood Lane
5 And 6
Fort Myers, FL 33907
Mailing address
12734 Kenwood LN
5 And 6
Fort Myers, FL 33907-5638
Phone (239) 243-0512
Other practice location 1
7050 Winkler Rd
Suite 120
Fort Myers, FL 33919-7048
Phone (516) 491-2270
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015357600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141106000602 | FL | Part A Provider - Home Health Agency | 0547482515 | Practice locations: Fort Myers, FL |
Home health agency certification: CCN 683171
- Legal name
- ROYALTY CARE HOME HEALTH SERVICES LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Feb 27, 2015
- Last certification
- Feb 27, 2015
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Jan 6, 2014 in FL
- Enrollment address
- 12734 Kenwood Lane
Suite 5 & 6
Fort Myers, FL 33907
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Royalty Care Home Health Services LLC
- Ownership
- Proprietary
- Certified
- Feb 27, 2015
- Medicare certification status
- Active
- Services
- Nursing, 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 |
|---|---|---|---|
| 10D2079626 | Royalty Care Home Health Services LLC | Certificate of waiver | Jun 18, 2028 |
National Provider Directory
National Provider DirectoryLocations
7050 Winkler Rd
Ste 120
Fort Myers, FL 33919
Phone (239) 243-0512
12734 Kenwood Ln
Ste 5
Fort Myers, FL 33907
Phone (239) 243-0512
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Royalty Care Home Health Services LLC | 5% Or Greater Direct Ownership Interest | Aug 30, 2017 | 100% |
| Rosalba Pinero | 5% Or Greater Direct Ownership Interest | Feb 7, 2014 | 50% |
| W-2 Managing Employee | Feb 7, 2014 | 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.
-
- Registered Nurse
- Fort Myers, FL
- NPI 1639549264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1386054369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12734 KENWOOD LN",
"address_2": "5 AND 6",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339075638",
"telephone_number": "239-243-0512",
"fax_number": "239-437-9730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12734 KENWOOD LANE",
"address_2": "5 AND 6",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "33907",
"telephone_number": "239-243-0512",
"fax_number": "239-437-9730"
}
],
"practiceLocations": [
{
"address_1": "7050 Winkler Rd",
"address_2": "Suite 120",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339197048",
"country_code": "US",
"telephone_number": "516-491-2270",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ROYALTY CARE HOME HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-30",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "PINERO",
"authorized_official_first_name": "ROSALBA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "239-243-0512",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015357600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.