Organization Active NPI

Royal Majesty Home Care, Inc

  • Home Health Agency
  • Long Beach, CA
National Provider Identifier
1669478020
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
058205 Issued in CA
Legal business name
ROYAL MAJESTY HOME CARE, INC
Practice address
3939 Atlantic Ave Ste 212
Long Beach, CA 90807-3535
Phone
(562) 492-9600
Fax
(562) 492-9377
NPI assigned
Jun 21, 2005
Last updated
Jul 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Authorized official

Name
Rommel Alcantara
Title
Administrator
Phone
(562) 492-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 058205 CA Primary

Addresses

Primary practice location

3939 Atlantic Ave Ste 212
Long Beach, CA 90807-3535

Mailing address

3939 Atlantic Ave Ste 212
Long Beach, CA 90807-3535
Phone (562) 492-9600

Other identifiers 1

IdentifierTypeStateIssuer
08205MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030210000044 CA Part A Provider - Home Health Agency 0749199321 Practice locations: Long Beach, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669478020. Details of each certification follow.

Home health agency certification: CCN 058205

Legal name
ROYAL MAJESTY HOME CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 31, 2003
Last certification
Sep 21, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 28, 2002 in CA
Enrollment address
3939 Atlantic Ave
Ste 212
Long Beach, CA 90807-3535

Care Compare: Home health agency

Medicare Care Compare
Listed as
Royal Majesty Home Care, IncCCN 058205 · All quality measures
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Oct 31, 2003
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
05D1014077Royal Majesty Home Care Inc3939 Atlantic Ave Suite 212, Long Beach, CA 90807Certificate of waiverJun 24, 2027

National Provider Directory

National Provider Directory

Locations

150 W Wardlow Rd
Long Beach, CA 90807
Phone (562) 492-9600

3750 Schaufele Ave
Ste 225
Long Beach, CA 90808
Phone (562) 492-9600

3939 Atlantic Ave
Ste 209
Long Beach, CA 90807
Phone (562) 492-9600

3939 Atlantic Ave
Ste 212
Long Beach, CA 90807
Phone (562) 492-9600

4320 Atlantic Ave
Ste 107
Long Beach, CA 90807
Phone (562) 492-9600

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Emmalyn V Alcantara Individual 5% Or Greater Direct Ownership Interest Dec 12, 2017 100%
Corporate OfficerCeo and Cfo Dec 12, 2017 100%
Corporate DirectorBoard Member Dec 12, 2017 100%
W-2 Managing EmployeeAdministrator Dec 12, 2017 100%

Practitioners & affiliated clinicians

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.

Affiliated clinicians 7

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": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1669478020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 ATLANTIC AVE STE 212",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073535",
            "telephone_number": "562-492-9600",
            "fax_number": "562-492-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 ATLANTIC AVE STE 212",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073535",
            "telephone_number": "562-492-9600",
            "fax_number": "562-492-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL MAJESTY HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "ALCANTARA",
        "authorized_official_first_name": "ROMMEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "562-492-9600"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "058205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08205",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.