Provider Demographics
NPI:1063246262
Name:LOYALCOMPANIONS
Entity type:Organization
Organization Name:LOYALCOMPANIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAWANNA
Authorized Official - Middle Name:SHANTA
Authorized Official - Last Name:ROYAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-471-7363
Mailing Address - Street 1:5150 E 88TH ST APT 203
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-2460
Mailing Address - Country:US
Mailing Address - Phone:216-471-7363
Mailing Address - Fax:
Practice Address - Street 1:5150 E 88TH ST APT 203
Practice Address - Street 2:
Practice Address - City:GARFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44125-2460
Practice Address - Country:US
Practice Address - Phone:216-471-7363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care