NPIMap

Organization Active NPI

Royalcare, Inc.

  • Home Health Agency
  • West Bloomfield, MI
National Provider Identifier
1649328857
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ROYALCARE, INC.
Practice address
7125 Orchard Lake Rd
Suite 303
West Bloomfield, MI 48322-3615
Phone
(248) 626-9229
Fax
(248) 626-9230
NPI assigned
Jan 7, 2007
Last updated
Oct 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Authorized official

Name
Mr. Bahram Nadim, P.T.NPI 1053062208
Title
Administrator
Phone
(248) 310-2438

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
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

7125 Orchard Lake Rd
Suite 303
West Bloomfield, MI 48322-3615

Mailing address

7125 Orchard Lake Rd
Suite 303
West Bloomfield, MI 48322-3615
Phone (248) 626-9229

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070427000251 MI Part A Provider - Home Health Agency 2062516602 Practice locations: West Bloomfield, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649328857. Details of each certification follow.

Home health agency certification: CCN 237742

Legal name
ROYALCARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 25, 2008
Last certification
Feb 20, 2014
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 30, 2006 in MI
Enrollment address
7125 Orchard Lake Rd
Ste 303
West Bloomfield, MI 48322-3620
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
RoyalcareCCN 237742 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Apr 25, 2008
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
23D1066395Royalcare Inc7125 Orchard Lake Road Suite 303, West Bloomfield, MI 48322Certificate of waiverJan 22, 2028

National Provider Directory

National Provider Directory

Locations

21700 Greenfield Rd
Ste 257B
Oak Park, MI 48237
Phone (248) 556-8685

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Barbara Bemis Individual W-2 Managing EmployeeDon/Clinical Manager Jul 15, 2018 45%
Bahram Nadim Individual 5% Or Greater Direct Ownership InterestOwner Dec 1, 2006 100%
Corporate OfficerBoard Member/Ceo Dec 1, 2006 100%
W-2 Managing EmployeeAdministrator/Clinical Manager Dec 1, 2006 50%
Mahnaz Rezazadegan Individual W-2 Managing EmployeeRehab Supervisor Jul 15, 2018 5%

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 4

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": "1168128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1649328857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 ORCHARD LAKE RD",
            "address_2": "SUITE 303",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223615",
            "telephone_number": "248-626-9229",
            "fax_number": "248-626-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 ORCHARD LAKE RD",
            "address_2": "SUITE 303",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223615",
            "telephone_number": "248-626-9229",
            "fax_number": "248-626-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYALCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-07",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "NADIM",
        "authorized_official_first_name": "BAHRAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-310-2438",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.