Organization Active NPI

Royaltee in-Home Service, LLCV

  • Homemaker
  • Quitman, MS
National Provider Identifier
1487717377
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
ROYALTEE IN-HOME SERVICE, LLCV
Practice address
111 W Church St
Quitman, MS 39355-2134
Phone
(601) 776-3230
Fax
(601) 776-3231
NPI assigned
Dec 19, 2006
Last updated
May 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Authorized official

Name
Rosie M Berry
Title
Owner Single Member
Phone
(601) 776-3230

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X NU Primary
Respite Care 385H00000X NU

Addresses

Primary practice location

111 W Church St
Quitman, MS 39355-2134

Mailing address

111 W Church St
Quitman, MS 39355-2134
Phone (601) 776-3230

Other identifiers 2

IdentifierTypeStateIssuer
04821746MedicaidMS
00770490MedicaidMS

National Provider Directory

National Provider Directory

Locations

111 W Church St
Quitman, MS 39355
Phone (601) 604-3705

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1487717377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W CHURCH ST",
            "city": "QUITMAN",
            "state": "MS",
            "postal_code": "393552134",
            "telephone_number": "601-776-3230",
            "fax_number": "601-776-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W CHURCH ST",
            "city": "QUITMAN",
            "state": "MS",
            "postal_code": "393552134",
            "telephone_number": "601-776-3230",
            "fax_number": "601-776-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYALTEE IN-HOME SERVICE, LLCV",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "ROSIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER SINGLE MEMBER",
        "authorized_official_telephone_number": "601-776-3230"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04821746",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770490",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quitman, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.