MEDICARE: LOYAL AND DEDICATED HOME HEALTHCARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1184914640
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOYAL AND DEDICATED HOME HEALTHCARE

Provider Business Mailing Address
First Line	:	5423 LEOPOLD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77021-1501
Country	:	US
Telephone Number	:	713-747-7294
Fax Number	:

Provider Business Practice Location Address
First Line	:	5423 LEOPOLD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77021-1501
Country	:	US
Telephone Number	:	713-747-7294
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. EVELYN KAY GILMORE
Credential	:
Telephone Number	:	712-747-7294

Provider Enumeration Date	:	04/18/2011
Last Update Date	:	04/18/2011

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