Provider Demographics
NPI:1770738817
Name:LOYAL HOME HEALTH CARE
Entity type:Organization
Organization Name:LOYAL HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:AVWORO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-530-2539
Mailing Address - Street 1:12738 VILLAWOOD LN
Mailing Address - Street 2:12738 VILLAWOOD LANE
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-4616
Mailing Address - Country:US
Mailing Address - Phone:281-530-2539
Mailing Address - Fax:
Practice Address - Street 1:12738 VILLAWOOD LN
Practice Address - Street 2:12738 VILLAWOOD LN
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-4616
Practice Address - Country:US
Practice Address - Phone:281-530-2539
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-17
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3747P1801X
TX0007870251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty