Provider Demographics
NPI:1134425960
Name:LLOYD HEATHCARE, LLC
Entity type:Organization
Organization Name:LLOYD HEATHCARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, CSA
Authorized Official - Phone:770-416-0909
Mailing Address - Street 1:3845 HOLCOMB BRIDGE RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-5251
Mailing Address - Country:US
Mailing Address - Phone:770-416-0909
Mailing Address - Fax:
Practice Address - Street 1:3845 HOLCOMB BRIDGE RD
Practice Address - Street 2:SUITE 400
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30092-5251
Practice Address - Country:US
Practice Address - Phone:770-416-0909
Practice Address - Fax:770-234-6018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-26
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA033-R-0695253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA033-R-0695OtherSTATE OF GEORGIA