NPIMap

Organization Active NPI

Royalty Home Care, LLC

  • Case Management Agency
  • Peoria, AZ
National Provider Identifier
1568875185
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ROYALTY HOME CARE, LLC
Practice address
12163 N 87TH Dr
Peoria, AZ 85345-4132
Phone
(623) 326-8282
NPI assigned
Jun 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Miss Jackie OdishooNPI 1962813931
Title
Owner
Phone
(623) 326-8282

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
Case Management Agency 251B00000X AZ Primary

Addresses

Primary practice location

12163 N 87TH Dr
Peoria, AZ 85345-4132

Mailing address

12163 N 87TH Dr
Peoria, AZ 85345-4132

National Provider Directory

National Provider Directory

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": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1568875185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12163 N 87TH DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853454132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12163 N 87TH DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853454132",
            "telephone_number": "623-326-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYALTY HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ODISHOO",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-326-8282",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.