| Royalty Health Services Llc | |
|
1422 Service Berry Way Odenton MD 21113-6052 | |
| (240) 639-2495 | |
| Not Available |
| Full Name | Royalty Health Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1422 Service Berry Way, Odenton, Maryland |
| Authorized Official Name and Position | Osereme Agboifo (PROVIDER) |
| Authorized Official Contact | 2406392495 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Royalty Health Services Llc 1422 Service Berry Way Odenton MD 21113-6052 Ph: (240) 639-2495 | Royalty Health Services Llc 1422 Service Berry Way Odenton MD 21113-6052 Ph: (240) 639-2495 |
| NPI Number | 1205546488 |
|---|---|
| Provider Enumeration Date | 11/29/2022 |
| Last Update Date | 11/29/2022 |
| Certification Date | 11/29/2022 |
| Medicare PECOS PAC ID | 5092188961 |
|---|---|
| Medicare Enrollment ID | O20230224001555 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205546488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Osereme Nora Agboifo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750989042 PECOS PAC ID: 4183032881 Enrollment ID: I20210419001216 |
Robert A. Pascal Youth And Family Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1226 Annapolis Rd, Odenton, MD 21113 Phone: 410-571-4500 Fax: 410-923-1329 | |
Ally Behavior Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2288 Blue Water Blvd Ste 310, Odenton, MD 21113 Phone: 240-342-2666 | |
The Care Connection, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1215 Annapolis Road, Suite 202, Odenton, MD 21113 Phone: 410-519-1209 Fax: 410-519-1208 | |
Transformation Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2288 Blue Water Blvd Ste 315&317, Odenton, MD 21113 Phone: 443-759-9592 | |
Chesapeake Children's Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8739 Bright Meadow Ct, Odenton, MD 21113 Phone: 410-353-0677 Fax: 410-874-7907 | |
Psychological Assessment, Consultation, And Evaluation, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1214 Gregory Ct, Odenton, MD 21113 Phone: 443-698-8326 | |
Transformation Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2288 Blue Water Blvd Ste 315&317, Odenton, MD 21113 Phone: 443-759-9592 |