Organization Active NPI

Royalty Care Home Health Services,Inc

  • Home Health Agency
  • Round Rock, TX
National Provider Identifier
1639245202
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ROYALTY CARE HOME HEALTH SERVICES,INC
Practice address
3000 Joe Dimaggio Blvd
Building 400 Suite 13
Round Rock, TX 78665-3922
Phone
(512) 244-4254
Fax
(512) 255-0314
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Authorized official

Name
Ms. Febronia Lwenje
Title
Administrator
Phone
(512) 244-4354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3000 Joe Dimaggio Blvd
Building 400 Suite 13
Round Rock, TX 78665-3922

Mailing address

3000 Joe Dimaggio Blvd BLDG 400 Ste 13
Round Rock, TX 78665-3989
Phone (512) 244-4254

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080304000326 TX Part A Provider - Home Health Agency 3870678675 Practice locations: Round Rock, TX

Home health agency certification: CCN 747022

Legal name
ROYALTY CARE HOME HEALTH SERVICES,INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 29, 2008
Last certification
Aug 21, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 31, 2006 in TX
Enrollment address
3000 Joe Dimaggio Blvd
Ste 13
Round Rock, TX 78665-3989

Care Compare: Home health agency

Medicare Care Compare
Listed as
Royalty Care Home Health Services IncCCN 747022
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Oct 29, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, 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
45D1070844Royalty Care Home Health Services Inc3000 Joe Dimaggio Blvd Suite 13, Round Rock, TX 78665Certificate of waiverJul 10, 2027

National Provider Directory

National Provider Directory

Locations

3000 Joe Dimaggio Blvd
Ste 13
Round Rock, TX 78665
Phone (512) 244-4254

3000 Joe Dimaggio Blvd
Bldg 400
Round Rock, TX 78665
Phone (512) 244-4254

3000 Joe Dimaggio Blvd
Bldg 800
Round Rock, TX 78665
Phone (512) 244-4254

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
Febronia Lwenje Individual 5% Or Greater Direct Ownership Interest Mar 21, 2014 50%
Corporate OfficerCfo, Administrator Mar 21, 2014 50%
Corporate DirectorCfo, Administrator Mar 21, 2014 50%
W-2 Managing Employee Mar 21, 2014
Irving Baysah Individual 5% Or Greater Direct Ownership Interest Mar 21, 2014 50%
Corporate OfficerCeo Mar 21, 2014 50%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1639245202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 JOE DIMAGGIO BLVD BLDG 400 STE 13",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653989",
            "telephone_number": "512-244-4254",
            "fax_number": "512-255-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 JOE DIMAGGIO BLVD",
            "address_2": "BUILDING 400 SUITE 13",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653922",
            "telephone_number": "512-244-4254",
            "fax_number": "512-255-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYALTY CARE HOME HEALTH SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "LWENJE",
        "authorized_official_first_name": "FEBRONIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "512-244-4354",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.