Healthcare Provider Details

I. General information

NPI: 1255250130
Provider Name (Legal Business Name): LOYALTY HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

681 FALCON LN
ABERDEEN MD
21001-1299
US

IV. Provider business mailing address

681 FALCON LN
ABERDEEN MD
21001-1299
US

V. Phone/Fax

Practice location:
  • Phone: 757-510-8086
  • Fax: 614-482-2850
Mailing address:
  • Phone: 757-510-8086
  • Fax: 614-482-2850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: GOKAH EVANS
Title or Position: ADMINISTRATOR/ OWNER
Credential:
Phone: 757-510-8086