Organization · NPI-2
Aegis Royalty Care
Home Health · Springfield, IL
NPI number1154187136
StatusActive
Last updated in NPPESFeb 26, 2024
Details
- NPI
- 1154187136
- Entity type
- Organization (NPI-2)
- Legal business name
- Aegis Royalty Care
- Organization subpart
- No
- Enumeration date
- Feb 26, 2024
- Certification date
- Feb 26, 2024
- Last updated
- Feb 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 253Z00000X | In Home Supportive Care | – | – | |
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | |
| 385H00000X | Respite Care | – | – |
Practice location
2501 Chatham Rd # 5165Springfield, IL 62704-4188
Phone 708-356-7722
Mailing address
2501 Chatham Rd # 5165Springfield, IL 62704-4188
Phone 708-356-7722
Authorized official
Jasmine Hardison
Manager
7083567722
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