Provider Demographics
NPI:1407497118
Name:LOYAL TOUCH HOME HEALTH INC
Entity Type:Organization
Organization Name:LOYAL TOUCH HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:
Authorized Official - Last Name:UDEOBONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-865-9395
Mailing Address - Street 1:7402 PAVILION DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-6927
Mailing Address - Country:US
Mailing Address - Phone:281-865-9395
Mailing Address - Fax:281-710-6002
Practice Address - Street 1:7402 PAVILION DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-6927
Practice Address - Country:US
Practice Address - Phone:281-865-9395
Practice Address - Fax:281-710-6002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-03
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
No2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care MedicineGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX019669OtherLICENCE NUMBER