Organization Active NPI

Royal Comfort Home Care Inc

  • Home Health Agency
  • Lawrence, MA
National Provider Identifier
1720402191
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ROYAL COMFORT HOME CARE INC
Practice address
280 Merrimack St Ste 530
Lawrence, MA 01843-1779
Phone
(978) 688-6917
Fax
(978) 686-2387
NPI assigned
Feb 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Authorized official

Name
John Carlstrom
Title
Ceo
Phone
(978) 688-6917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

280 Merrimack St Ste 530
Lawrence, MA 01843-1779

Mailing address

280 Merrimack St Ste 530
Lawrence, MA 01843-1779
Phone (978) 688-6917

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140430000589 MA Part A Provider - Home Health Agency 4880827781 Practice locations: Lawrence, MA

Home health agency certification: CCN 227613

Legal name
ROYAL COMFORT HOME CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 13, 2015
Last certification
Feb 13, 2015
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 7, 2014 in MA
Enrollment address
280 Merrimack St
Ste 530
Lawrence, MA 01843-1779
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Royal Comfort Home Care IncCCN 227613
Overall star rating
1 of 5
Ownership
Proprietary
Certified
Feb 13, 2015
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
22D2075301Royal Comfort Home Care280 Merrimack St, Lawrence, MA 01843Certificate of waiverMar 25, 2028

National Provider Directory

National Provider Directory

Locations

280 Merrimack St
Ste 530
Lawrence, MA 01843
Phone (978) 688-6917

599 Canal St
Ste 3W1
Lawrence, MA 01840
Phone (978) 957-7654

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Catherine W Carlstrom Individual 5% Or Greater Direct Ownership Interest Jan 7, 2014 25%
Corporate DirectorDirector/ Officer Jan 7, 2014 25%
John Carlstrom Individual 5% Or Greater Direct Ownership Interest Jan 7, 2014 25%
Corporate DirectorPresident/ Ceo Jan 7, 2014 25%
W-2 Managing EmployeePresident/ Ceo Jan 7, 2014 25%
Nancy W Kariuki Individual 5% Or Greater Direct Ownership Interest Jan 7, 2014 25%
Corporate DirectorDirector/ Officer Jan 7, 2014 25%
Tilahun H Anshu Individual 5% Or Greater Direct Ownership Interest Jan 7, 2014 25%
Corporate DirectorDirector Jan 7, 2014 25%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1720402191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MERRIMACK ST STE 530",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431779",
            "telephone_number": "978-688-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MERRIMACK ST STE 530",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431779",
            "telephone_number": "978-688-6917",
            "fax_number": "978-686-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL COMFORT HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2021-12-10",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "CARLSTROM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-688-6917"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.