| Organization Name: | MEMPHIS ROYAL HOME CARE |
| NPI Number: | 1538532197 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BIRA IMAM AHMED (CEO) |
| Mailing Address: | 4580 Winchester Rd 101 Memphis |
| State: | TN US |
| Postal Code: | 381185243 |
| Phone Number: | 9012812606 |
| Fax Number: | 9017953146 |
| NPI Enumeration Date: | 11/04/2015 |
| NPI Last Update Date: | 11/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 1000000016952 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |