Organization Active NPI

Royal Queens Care Agency

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Reynoldsburg, OH
National Provider Identifier
1811447519
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
3939589 Issued in OH
Legal business name
ROYAL QUEENS CARE AGENCY
Practice address
6625 Retton Rd
Reynoldsburg, OH 43068-2849
Phone
(614) 432-5812
NPI assigned
Oct 6, 2016
Last updated
Oct 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Authorized official

Name
Ermithe VictorNPI 1871302034
Title
Ceo
Phone
(614) 432-5812

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 3939589 OH Primary

Addresses

Primary practice location

6625 Retton Rd
Reynoldsburg, OH 43068-2849

Mailing address

6625 Retton Rd Reynoldsburg
Reynoldsburg, OH 43068
Phone (614) 432-5812

National Provider Directory

National Provider Directory

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": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1811447519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 RETTON RD REYNOLDSBURG",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "43068",
            "telephone_number": "614-432-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 RETTON RD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682849",
            "telephone_number": "614-432-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL QUEENS CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "VICTOR",
        "authorized_official_first_name": "ERMITHE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-432-5812"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": "3939589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.