1811759541 NPI number — LOYALTY IN HOME CARE LLC

Table of content: (NPI 1811759541)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811759541 NPI number — LOYALTY IN HOME CARE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LOYALTY IN HOME CARE LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811759541
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/29/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1944 HURON DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AIKEN
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29803-7553
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
803-968-9045
Provider Business Mailing Address Fax Number:
803-514-2308

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
640 OLD AIRPORT RD STE 102
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AIKEN
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29801-5034
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-961-7059
Provider Business Practice Location Address Fax Number:
803-961-7060
Provider Enumeration Date:
01/29/2024

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
GAMBLE
Authorized Official First Name:
ANGELIA
Authorized Official Middle Name:
JONES
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
803-968-9045

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)