Provider Demographics
NPI:1992008254
Name:LOYALTY HOME HEALTHCARE SERVICES, LLC
Entity Type:Organization
Organization Name:LOYALTY HOME HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:COLA
Authorized Official - Middle Name:P
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:281-908-7276
Mailing Address - Street 1:5715 BELMARK ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77033-2145
Mailing Address - Country:US
Mailing Address - Phone:281-908-7276
Mailing Address - Fax:281-908-7276
Practice Address - Street 1:716 WILKINS ST
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:TX
Practice Address - Zip Code:77445-4621
Practice Address - Country:US
Practice Address - Phone:281-908-7276
Practice Address - Fax:281-908-7276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-08
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health