Organization Active NPI

Opal Royal Home Care Inc.

  • Home Health Agency
  • Southfield, MI
National Provider Identifier
1679244834
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OPAL ROYAL HOME CARE INC.
Practice address
23800 W 10 Mile Rd Ste 260
Southfield, MI 48033-3199
Phone
(832) 610-8914
NPI assigned
Sep 27, 2021
Last updated
Apr 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Authorized official

Name
Chioma Ukwa
Title
President
Phone
(832) 610-8914

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Adult Day Care Clinic/Center 261QA0600X NU

Addresses

Primary practice location

23800 W 10 Mile Rd Ste 260
Southfield, MI 48033-3199

Mailing address

23800 W 10 Mile Rd Ste 260
Southfield, MI 48033-3199
Phone (832) 610-8914

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221221000497 MI Part A Provider - Home Health Agency 6901282771 Practice locations: Southfield, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679244834. Details of each certification follow.

Home health agency certification: CCN 239366

Legal name
OPAL ROYAL HOME CARE INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 29, 2024
Last certification
Nov 15, 2024
Organization structure
CorporationProprietary
Incorporated
Nov 1, 2020 in MD
Enrollment address
23800 W 10 Mile Rd
Ste 260a
Southfield, MI 48033-3199

Care Compare: Home health agency

Medicare Care Compare
Listed as
Opal Royal Home Care, IncCCN 239366 · All quality measures
Ownership
-
Certified
Dec 29, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

23800 W 10 Mile Rd
Ste 260A
Southfield, MI 48033
Phone (780) 787-8778

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
Chioma Nnenaya Ukwa Individual 5% Or Greater Direct Ownership InterestOwner Jan 1, 2022 100%
W-2 Managing Employee Jan 1, 2022

NPI Registry JSON

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1679244834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23800 W 10 MILE RD STE 260",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333199",
            "telephone_number": "832-610-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23800 W 10 MILE RD STE 260",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333199",
            "telephone_number": "832-610-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPAL ROYAL HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "UKWA",
        "authorized_official_first_name": "CHIOMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-610-8914"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.