MEDICARE: SAMANTHA MARIE LOY

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	374U00000X	Home Health Aide	HC4431	NC
2	376J00000X	Homemaker	HC4431	NC
3	385H00000X	Respite Care	HC4431	NC
4	376K00000X	Nurse's Aide	HC4431	NC

General Provider Information

NPI Number	:	1598323180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA MARIE LOY

Provider Business Mailing Address
First Line	:	PO BOX 836
Second Line	:
City	:	GRAHAM
State	:	NC
Zip	:	27253-0836
Country	:	US
Telephone Number	:	336-270-4352
Fax Number	:	336-270-5527

Provider Business Practice Location Address
First Line	:	2260 S CHURCH ST STE 603
Second Line	:
City	:	BURLINGTON
State	:	NC
Zip	:	27215-5380
Country	:	US
Telephone Number	:	336-270-4352
Fax Number	:	336-270-5527

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2019
Last Update Date	:	01/26/2026

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Directions to “ SAMANTHA MARIE LOY ” Practice Location

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