Royalty Personal Care LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

PCA 14063 Issued in LA

Legal business name

ROYALTY PERSONAL CARE LLC

Practice address

1532 S Burnside Ave BLDG 10a
Gonzales, LA 70737-4444

Phone

(225) 677-9769

Fax

(225) 313-3488

NPI assigned

Dec 24, 2007

Organization subpart

No

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

Authorized official

Name

Shannon Williams Simmons

Title

Program Administrator

Phone

(225) 803-8217

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1902080146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 SOUTH BURNSIDE AVE.SUITE 10 A",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "70707",
            "telephone_number": "225-677-9769",
            "fax_number": "225-313-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 S BURNSIDE AVE BLDG 10A",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374444",
            "telephone_number": "225-677-9769",
            "fax_number": "225-313-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYALTY PERSONAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "225-803-8217"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "LA",
            "license": "PCA 14063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Rome, DC, MS
• Omaira Trinidad Romero
• Rosemond School of Phlebotomy Clinical Laboratory-Research & Testing,
• Katelyn Roth
• Marcus R. Rovira, N.P.
• Clayton F Runfalo, MD
• Kyla Runnels Saldivar, HIS
• Alexis Ray Russell
• Camille Joseph Russo III, DDS
• Mohammed Saeed, M.D.

• Exclusive Provider Organization in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Exclusive Provider Organization in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; 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.