Royal Home Care of North Carolina, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC3990 Issued in NC

Legal business name

ROYAL HOME CARE OF NORTH CAROLINA, LLC

Practice address

2530 Meridian Pkwy
Suite 200
Durham, NC 27713-5272

Phone

(800) 681-8497

Fax

(844) 852-7565

NPI assigned

Jan 14, 2015

Organization subpart

No

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

Authorized official

Name

Nyla Phetvisay

Title

President

Phone

(704) 957-5774

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Royal Home Care of North Carolina2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Royal Home Care of North Carolina

  • Home Health Agency
  • Salisbury, NC
  • NPI 1487053179
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1639568686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36409",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274166409",
            "telephone_number": "800-681-8497",
            "fax_number": "844-852-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 MERIDIAN PKWY",
            "address_2": "SUITE 200",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277135272",
            "telephone_number": "800-681-8497",
            "fax_number": "844-852-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL HOME CARE OF NORTH CAROLINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "PHETVISAY",
        "authorized_official_first_name": "NYLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-957-5774"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC3990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC3990",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rowell, MD
• Chaunte Nicole Rowland, LCAS-A
• David Matthew Rowland
• Ethan Louis Rowles-Naccarato
• Lance A. Roy, M.D.
• Amy Marie Royals, LCSW
• Galen Alexia Royce-Nagel, M.D.
• Melanie Roys
• Cheryl Lynn Royster
• Roysters Family Care

• In Home Supportive Care Agency in Durham, NC
• Providers in Durham, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.