MEDICARE: LOYAL HEALTH SERVICES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	376J00000X	Homemaker
2	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
3	251J00000X	Nursing Care Agency
4	343900000X	Non-emergency Medical Transport (VAN)
5	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629660675
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOYAL HEALTH SERVICES

Provider Business Mailing Address
First Line	:	8442 S US HIGHWAY 1
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34952-3306
Country	:	US
Telephone Number	:	772-777-8516
Fax Number	:	772-777-8519

Provider Business Practice Location Address
First Line	:	8442 S US HIGHWAY 1
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34952-3306
Country	:	US
Telephone Number	:	772-777-8516
Fax Number	:	772-777-8519

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JASMINE NOEL
Credential	:
Telephone Number	:	772-777-8516

Provider Enumeration Date	:	02/10/2021
Last Update Date	:	09/02/2025

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Directions to “LOYAL HEALTH SERVICES ” Practice Location

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