NPIMap

Organization Active NPI

Royal Health Senior Care LLC

Doing business as Residential Service Agency

  • In Home Supportive Care Agency
  • College Park, MD
National Provider Identifier
1861941965
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
R 3929 Issued in MD
Legal business name
ROYAL HEALTH SENIOR CARE LLC
Doing business as
Residential Service Agency
Practice address
4920 Niagara Rd
109
College Park, MD 20740-1110
Phone
(612) 245-3301
Fax
(240) 652-8700
NPI assigned
Sep 29, 2016
Organization subpart
Yes
Parent organization
ROYAL HEALTH SENIOR CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Authorized official

Name
Habiba Harun
Title
Administrator
Phone
(612) 245-3301

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X R 3929 MD
In Home Supportive Care Agency 253Z00000X R 3929 MD Primary

Addresses

Primary practice location

4920 Niagara Rd
109
College Park, MD 20740-1110

Mailing address

4920 Niagara Rd
109
College Park, MD 20740-1110
Phone (612) 245-3301

Other names 1

  • Residential Service Agency Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Residential Service Agency2 organizations share this tax ID, including this one
Part of
Residential Service Agency

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4920 Niagara Rd
Ste 109
College Park, MD 20740
Phone (612) 245-3301

NPI Registry JSON

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1861941965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 NIAGARA RD",
            "address_2": "109",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401110",
            "telephone_number": "612-245-3301",
            "fax_number": "240-652-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 NIAGARA RD",
            "address_2": "109",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401110",
            "telephone_number": "612-245-3301",
            "fax_number": "240-652-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL HEALTH SENIOR CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROYAL HEALTH SENIOR CARE LLC",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "HARUN",
        "authorized_official_first_name": "HABIBA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "612-245-3301"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R 3929",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MD",
            "license": "R 3929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Residential Service Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in College Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.