Active NPI
Royal Health Homecare Agency Inc
- Home Health Agency
- Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 550000373
- Legal business name
- ROYAL HEALTH HOMECARE AGENCY INC
- Practice address
- 1272 Center Court Dr Ste 204-205
Covina, CA 91724-3667 - Phone
- (818) 507-5300
- Fax
- (626) 545-2247
- NPI assigned
- Feb 9, 2007
- 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
- Christopher Chen
- Title
- Ceo
- Phone
- (626) 757-1926
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 550000373 | CA | Primary |
Addresses
Primary practice location
1272 Center Court Dr Ste 204-205
Covina, CA 91724-3667
Mailing address
1272 Center Court Dr Ste 204-205
Covina, CA 91724-3667
Phone (818) 507-5300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 550000373 | Other | CA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030812000037 | CA | Part A Provider - Home Health Agency | 9739090366 | Practice locations: Covina, CA |
Home health agency certification: CCN 058411
- Legal name
- ROYAL HEALTH HOMECARE AGENCY, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 30, 2007
- Last certification
- Apr 11, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jun 2, 2003 in CA
- Enrollment address
- 1272 Center Court Dr
Ste 205
Covina, CA 91724-3667
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Royal Health Homecare Agency, Inc
- Ownership
- Proprietary
- Certified
- Oct 30, 2007
- Medicare certification status
- Active
- Services
- Nursing, Medical social, 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 |
|---|---|---|---|
| 05D1066750 | Royal Health Homecare Agency Inc | Certificate of waiver | Apr 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
1272 Center Court Dr
Ste 205
Covina, CA 91724
Phone (818) 507-5300
1272 Center Court Dr
Ste 204205
Covina, CA 91724
Phone (818) 507-5300
1110 Sonora Ave
Ste 212
Glendale, CA 91201
Phone (818) 507-5300
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 |
|---|---|---|---|
| Fidaleah Mayelian | W-2 Managing Employee | Dec 16, 2019 | |
| Christopher Chen | 5% Or Greater Direct Ownership Interest | Jan 1, 2018 | 100% |
| Corporate Officer | Jan 1, 2018 | 100% | |
| Corporate Director | Jan 1, 2018 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Plastic and Reconstructive Surgery Physician
- Alhambra, CA
- NPI 1780696898
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747094400000",
"number": "1639210727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1272 CENTER COURT DR STE 204-205",
"city": "COVINA",
"state": "CA",
"postal_code": "917243667",
"telephone_number": "818-507-5300",
"fax_number": "626-545-2247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1272 CENTER COURT DR STE 204-205",
"city": "COVINA",
"state": "CA",
"postal_code": "917243667",
"telephone_number": "818-507-5300",
"fax_number": "626-545-2247"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROYAL HEALTH HOMECARE AGENCY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-09",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A",
"authorized_official_last_name": "CHEN",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "626-757-1926"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "550000373",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "550000373",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.