MEDICARE: LOYALTY HOME HEALTH, INC.

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	:	1467835025
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOYALTY HOME HEALTH, INC.

Provider Business Mailing Address
First Line	:	905 S LAKE ST STE 201
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91502-2436
Country	:	US
Telephone Number	:	818-247-0007
Fax Number	:	818-232-9411

Provider Business Practice Location Address
First Line	:	905 S LAKE ST STE 201
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91502-2436
Country	:	US
Telephone Number	:	818-247-0007
Fax Number	:

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	ZHANNA MARGARYAN
Credential	:
Telephone Number	:	818-247-0007

Provider Enumeration Date	:	07/01/2015
Last Update Date	:	05/28/2024

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