Provider Demographics
NPI:1912667601
Name:LOYALTY HOME HEALTH CARE AGENCY
Entity Type:Organization
Organization Name:LOYALTY HOME HEALTH CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-520-1703
Mailing Address - Street 1:52 PURCHASE ST APT C4
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-3647
Mailing Address - Country:US
Mailing Address - Phone:978-539-6834
Mailing Address - Fax:
Practice Address - Street 1:52 PURCHASE ST APT C4
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-3647
Practice Address - Country:US
Practice Address - Phone:978-539-6834
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-22
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care