Loyalty Healthcare LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

LOYALTY HEALTHCARE LLC

Practice address

107 E Church Ave Ste 2001
Longwood, FL 32750-4251

Phone

(352) 575-4432

NPI assigned

Sep 2, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deviante Hayes

Title

Ceo

Phone

(352) 575-4432

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1497423644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E CHURCH AVE STE 2001",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E CHURCH AVE STE 2001",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504251",
            "telephone_number": "352-575-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOYALTY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "DEVIANTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-575-4432"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luz Divina Lopez-Knicrumah, LCSW
• Gendry Yaritza Lopez
• Lynette Lopez
• Raquel Lopez, MA
• Jeffery Lorenz
• LPMG Inc
• Aristotle Christopher Luck, DC.
• Amy Julianne Luco
• Kami Lue Sang, ARNP
• Kimberly Jean Luedecke, ARNP

• Developmental Disabilities Clinic/Center in Longwood, FL
• Providers in Longwood, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.