Organization Active NPI

Royal Home Care

  • In Home Supportive Care Agency
  • West Allis, WI
National Provider Identifier
1730927153
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ROYAL HOME CARE
Practice address
2323 S 109TH St Ste 200
West Allis, WI 53227-1911
Phone
(414) 241-6454
NPI assigned
Jul 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Nardos Tesfaye GizawNPI 1396092680
Title
Registered Nurse
Phone
(414) 758-4507

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2323 S 109TH St Ste 200
West Allis, WI 53227-1911

Mailing address

2323 S 109TH St Ste 200
West Allis, WI 53227-1911
Phone (414) 241-6454

National Provider Directory

National Provider Directory

Locations

2323 S 109th St
Ste 200
West Allis, WI 53227
Phone (414) 241-6454

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.

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1730927153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 S 109TH ST STE 200",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532271911",
            "telephone_number": "414-241-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 S 109TH ST STE 200",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532271911",
            "telephone_number": "414-241-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "GIZAW",
        "authorized_official_first_name": "NARDOS",
        "authorized_official_middle_name": "TESFAYE",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "414-758-4507"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

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