Royalty Family Home Care

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

ROYALTY FAMILY HOME CARE

Practice address

8128 W Herbert Ave
Milwaukee, WI 53218

Phone

(414) 614-7026

NPI assigned

Nov 18, 2024

Last updated

Nov 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James, Siedah, Bev Tillman Jr, Willis,Boswell

Title

Owners

Phone

(414) 779-7188

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Beverly Denise Boswell

  • Licensed Practical Nurse
  • Milwaukee, WI
  • NPI 1902115413
  NPD

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1659196525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8128 W HERBERT AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53218",
            "telephone_number": "414-614-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8128 W HERBERT AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53218",
            "telephone_number": "414-614-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYALTY FAMILY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-17",
        "status": "A",
        "authorized_official_last_name": "TILLMAN JR, WILLIS,BOSWELL",
        "authorized_official_first_name": "JAMES, SIEDAH, BEV",
        "authorized_official_title_or_position": "OWNERS",
        "authorized_official_telephone_number": "414-779-7188"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Royal Legacy Adult Family Home 2
• Royal Legacy Adult Family Home LLC
• Royal Legacy Management Group LLC
• Royal Rides LLC
• Adriana CK Royal, LAC
• Allan Roza, MD
• Elise L Rozanski, PA-C
• Gregory Evan Rozansky, M.D.
• Christine A. Rozewicz, RN
• Corissa Rozmenoski

• Adult Care Home Facility in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Adult Care Home Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.