Active NPI
Royal Comfort Home Care Inc
- Home Health Agency
- Lawrence, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Incorporated
- Jan 7, 2014 in MA
- Enrollment address
- 280 Merrimack St
Ste 530
Lawrence, MA 01843-1779
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Royal Comfort Home Care Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Feb 13, 2015
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2075301 | Royal Comfort Home Care | Certificate of waiver | Mar 25, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Catherine W Carlstrom | 5% Or Greater Direct Ownership Interest | Jan 7, 2014 | 25% |
| Corporate Director | Jan 7, 2014 | 25% | |
| John Carlstrom | 5% Or Greater Direct Ownership Interest | Jan 7, 2014 | 25% |
| Corporate Director | Jan 7, 2014 | 25% | |
| W-2 Managing Employee | Jan 7, 2014 | 25% | |
| Nancy W Kariuki | 5% Or Greater Direct Ownership Interest | Jan 7, 2014 | 25% |
| Corporate Director | Jan 7, 2014 | 25% | |
| Tilahun H Anshu | 5% Or Greater Direct Ownership Interest | Jan 7, 2014 | 25% |
| Corporate Director | 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.
-
- General Practice Physician
- Andover, MA
- NPI 1699612531
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.