Organization Active NPI

Loyal Homecare LLC

  • Adult Care Home Facility
  • Racine, WI
National Provider Identifier
1578332334
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
LOYAL HOMECARE LLC
Practice address
2058 Georgia Ave
Racine, WI 53404-1908
Phone
(773) 441-8318
NPI assigned
Dec 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Jama Noor
Title
Manager
Phone
(262) 672-7570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

2058 Georgia Ave
Racine, WI 53404-1908

Mailing address

2058 Georgia Ave
Racine, WI 53404-1908

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1578332334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2058 GEORGIA AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534041908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2058 GEORGIA AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534041908",
            "telephone_number": "773-441-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOYAL HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "NOOR",
        "authorized_official_first_name": "JAMA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "262-672-7570"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.