- Enrollment id
- O20171221001748
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1831560184
- Multiple npi flag
- N
- Ccn
- 553115
- Associate id
- 0446518476
- Organization name
- ROYAL HOMEHEALTH CARE INC
- Incorporation date
- 2015-10-05
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 14328 VICTORY BLVD
- Address line 2
- STE 203
- City
- VAN NUYS
- State
- CA
- Zip code
- 914016510