Active NPI
Royaltee in-Home Service, LLCV
- Homemaker
- Quitman, MS
National Provider Identifier
1487717377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- 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, 2017
- 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
- Rosie M Berry
- Title
- Owner Single Member
- Phone
- (601) 776-3230
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04821746 | Medicaid | MS | |
| 00770490 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
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
- Quitman Lower Elementary School
- Quitman School District
- Region Ten Commission on Mental Health (Weems Mental Health)
- Katina Michelle Roberts
- Brandi L Robinson, FNP-C
- Rush Medical Foundation (Ochsner Health Center-Quitman)
- Rush Medical Foundation (Ochsner Watkins Hospital Swing Bed)
- Rush Medical Foundation (Ochsner Watkins Professional Services)
- Rush Medical Foundation (Ochsner Watkins Hospital)
- Briggette J. Singley, FNP
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.