Provider Demographics
NPI:1548972797
Name:LOYALTY HOME CARE LLC
Entity type:Organization
Organization Name:LOYALTY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARTHENA
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:CULPEPPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-287-2601
Mailing Address - Street 1:19525 HILLIARD BLVD UNIT 16173
Mailing Address - Street 2:
Mailing Address - City:ROCKY RIVER
Mailing Address - State:OH
Mailing Address - Zip Code:44116-4706
Mailing Address - Country:US
Mailing Address - Phone:216-287-2601
Mailing Address - Fax:
Practice Address - Street 1:1510 COUTANT AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-5114
Practice Address - Country:US
Practice Address - Phone:216-287-2601
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-20
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care