Royal Destiny Home Care Agency LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ROYAL DESTINY HOME CARE AGENCY LLC

Practice address

110 Fieldcrest Avenue 3Rd Floor
3Rd Floor PMB 9271
Edison, NJ 08837

Phone

(877) 225-6630

Fax

(838) 910-3039

NPI assigned

Jun 7, 2024

Last updated

Jun 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Isaac Adeoye Ajayi

Title

President

Phone

(877) 225-6630

Specialties & licenses 2

Addresses

Other names 1

• Destiny Royal Home Care Agency LLC Former legal business name

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1932941259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 FIELDCREST AVENUE 3RD FLOOR",
            "address_2": "3RD FLOOR PMB 9271",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08837",
            "telephone_number": "877-225-6630",
            "fax_number": "838-910-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 FIELDCREST AVENUE 3RD FLOOR",
            "address_2": "3RD FLOOR PMB 9271",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08837",
            "telephone_number": "877-225-6630",
            "fax_number": "838-910-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL DESTINY HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "AJAYI",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_middle_name": "ADEOYE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-225-6630"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Destiny Royal Home Care Agency LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Home Health Agency in Edison, NJ
• Providers in Edison, NJ by specialty
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.