Provider Demographics
NPI:1326663063
Name:LOYAL CARE AT HOME INC
Entity type:Organization
Organization Name:LOYAL CARE AT HOME INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:FLORA
Authorized Official - Middle Name:
Authorized Official - Last Name:KYZYKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-751-2223
Mailing Address - Street 1:14547 TITUS ST STE 240
Mailing Address - Street 2:
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-4910
Mailing Address - Country:US
Mailing Address - Phone:818-751-2223
Mailing Address - Fax:
Practice Address - Street 1:14547 TITUS ST STE 240
Practice Address - Street 2:
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-4910
Practice Address - Country:US
Practice Address - Phone:818-751-2223
Practice Address - Fax:818-688-0701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-09
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health