Organization Active NPI

Royalty Care Home Health Services LLC

  • Home Health Agency
  • Fort Myers, FL
National Provider Identifier
1386054369
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Rosalba Pinero, RNNPI 1639549264
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
015357600MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 LLCCCN 683171
Ownership
Proprietary
Certified
Feb 27, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
10D2079626Royalty Care Home Health Services LLC12734 Kenwood Lane Suites 5 & 6, Fort Myers, FL 33907Certificate of waiverJun 18, 2028

National Provider Directory

National Provider Directory

Locations

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 NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

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
Royalty Care Home Health Services LLC Organization, Fort Myers, FL For-profit 5% Or Greater Direct Ownership Interest Aug 30, 2017 100%
Rosalba Pinero Individual 5% Or Greater Direct Ownership Interest Feb 7, 2014 50%
W-2 Managing EmployeeCeo 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.

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

Verify at the official NPI Registry.