Organization · NPI-2

Royalrespite

Clinic/Center, Rural Health · Racine, WI

NPI number1043040413

StatusActive

Last updated in NPPESSep 13, 2024

Details

NPI: 1043040413
Entity type: Organization (NPI-2)
Legal business name: Royalrespite
Organization subpart: Yes
Enumeration date: Aug 1, 2024
Certification date: Sep 13, 2024
Last updated: Sep 13, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QR1300X	Clinic/Center, Rural Health	–	–	Yes
103TA0400X	Psychologist, Addiction (Substance Use Disorder)	–	–
106S00000X	Behavior Technician	–	–
133NN1002X	Nutritionist, Nutrition, Education	–	–
163WH1000X	Registered Nurse, Hospice	–	–
2278E0002X	Respiratory Therapist, Certified, Emergency Care	–	–
251E00000X	Home Health	–	–
251T00000X	PACE Provider Organization	–	–
252Y00000X	Early Intervention Provider Agency	–	–
253Z00000X	In Home Supportive Care	–	–
261QG0250X	Clinic/Center, Genetics	–	–
311ZA0620X	Custodial Care Facility, Adult Care Home	–	–
385H00000X	Respite Care	–	–
385HR2050X	Respite Care, Respite Care Camp	–	–
385HR2060X	Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child	–	–

Other names

Wellnesshoppe (Doing Business As)
Mobilemogul (Doing Business As)
Royalrespite (Doing Business As)
Wellness Shoppe (Doing Business As)

Practice location

255 N Memorial Dr
Racine, WI 53404-3428

Phone 262-504-0241

Mailing address

255 N Memorial Dr
Racine, WI 53404-3428

Phone 262-504-0241

Authorized official

Doris V Walekr
Owner
2625040241

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.