Organization Active NPI

Royally Home Health LLC

  • In Home Supportive Care Agency
  • Fayetteville, NC
National Provider Identifier
1992496566
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ROYALLY HOME HEALTH LLC
Practice address
823 Elm St Ste 234
Fayetteville, NC 28303-4172
Phone
(910) 676-9465
NPI assigned
May 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
Ms. Mercedes Kishaun Hazel
Title
Owner
Phone
(910) 676-9465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

823 Elm St Ste 234
Fayetteville, NC 28303-4172

Mailing address

671 Edgehill Rd
Fayetteville, NC 28314-0217
Phone (910) 676-9465

Other names 2

  • Royally Home Health Doing business as
  • Royally Home Health LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1992496566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 EDGEHILL RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140217",
            "telephone_number": "910-676-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 ELM ST STE 234",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034172",
            "telephone_number": "910-676-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYALLY HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "HAZEL",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_middle_name": "KISHAUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-676-9465",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royally Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Royally Home Health LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.