Provider Demographics
NPI:1568064418
Name:PILOT AGENCY LLC
Entity Type:Organization
Organization Name:PILOT AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MAPES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-705-1699
Mailing Address - Street 1:5360 ELMER DR
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-2802
Mailing Address - Country:US
Mailing Address - Phone:419-705-5169
Mailing Address - Fax:
Practice Address - Street 1:5360 ELMER DR
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-2802
Practice Address - Country:US
Practice Address - Phone:419-705-5169
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-14
Last Update Date:2020-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty