Organization Active NPI

Royal Healthcare of Southwest Florida LLC

  • Point of Service
  • Naples, FL
National Provider Identifier
1851646871
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
9253566 Issued in FL
Legal business name
ROYAL HEALTHCARE OF SOUTHWEST FLORIDA LLC
Practice address
4580 Andover Way
B 202
Naples, FL 34112-7250
Phone
(732) 674-0086
Fax
(239) 793-6645
NPI assigned
Jul 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Authorized official

Name
Valerie Hahn
Title
Managing Member
Phone
(732) 674-0086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 9253566 FL Primary

Addresses

Primary practice location

4580 Andover Way
B 202
Naples, FL 34112-7250

Mailing address

4580 Andover Way
B 202
Naples, FL 34112-7250
Phone (732) 674-0086

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1851646871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4580 ANDOVER WAY",
            "address_2": "B 202",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341127250",
            "telephone_number": "732-674-0086",
            "fax_number": "239-793-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 ANDOVER WAY",
            "address_2": "B 202",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341127250",
            "telephone_number": "732-674-0086",
            "fax_number": "239-793-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL HEALTHCARE OF SOUTHWEST FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "732-674-0086"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "9253566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.