Organization Active NPI

Royal Health Homecare Agency Inc

  • Home Health Agency
  • Covina, CA
National Provider Identifier
1639210727
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550000373 Issued in CA
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

Updated by the provider on May 13, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
550000373OtherCASTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
Incorporated
Jun 2, 2003 in CA
Enrollment address
1272 Center Court Dr
Ste 205
Covina, CA 91724-3667
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Royal Health Homecare Agency, IncCCN 058411 · All quality measures
Ownership
Proprietary
Certified
Oct 30, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, 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
05D1066750Royal Health Homecare Agency Inc1272 Center Court Dr, Ste 204, Covina, CA 91724Certificate of waiverApr 1, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Fidaleah Mayelian Individual W-2 Managing EmployeeDirector of Patient Care Service Dec 16, 2019
Christopher Chen Individual 5% Or Greater Direct Ownership Interest Jan 1, 2018 100%
Corporate OfficerCeo, President Jan 1, 2018 100%
Corporate DirectorCeo, President Jan 1, 2018 100%

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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

Verify at the official NPI Registry.