- Enrollment id
- O20251212001163
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1518625284
- Multiple npi flag
- N
- Ccn
- 758232
- Associate id
- 9537693213
- Organization name
- ROYALE LIFE HOME HEALTH CARE INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 6850 VAN NUYS BLVD
- Address line 2
- STE 325
- City
- VAN NUYS
- State
- CA
- Zip code
- 914054629
- Practice location type
- HHA BRANCH