Provider Demographics
NPI:1114672169
Name:LOYAL HOME CARE LLC
Entity Type:Organization
Organization Name:LOYAL HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ESRAA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABOUABDALLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-521-9587
Mailing Address - Street 1:856 CARRIAGE RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-1930
Mailing Address - Country:US
Mailing Address - Phone:440-521-9587
Mailing Address - Fax:
Practice Address - Street 1:7571 PARKSIDE DR
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44130-8226
Practice Address - Country:US
Practice Address - Phone:440-521-9587
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-18
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health