Provider Demographics
NPI:1417765017
Name:LOKI HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:LOKI HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:NIRAJAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KADARIYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-892-6443
Mailing Address - Street 1:3629 FRANKLIN RD SW STE 204
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24014-2217
Mailing Address - Country:US
Mailing Address - Phone:540-892-6443
Mailing Address - Fax:
Practice Address - Street 1:3629 FRANKLIN RD SW STE 204
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24014-2217
Practice Address - Country:US
Practice Address - Phone:540-892-6443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-28
Last Update Date:2024-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No253Z00000XAgenciesIn Home Supportive Care