LOYAL HEARTS OF SERVICE LLC
NPI 1962385278
Nurse Practitioner - Psychiatric/Mental Health in Fayetteville, GA
About Loyal Hearts Of Service Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LOYAL HEARTS OF SERVICE LLC (NPI 1962385278), doing business as Loyal Hearts Of Service, is a healthcare organization registered as a psychiatric/mental health in Fayetteville, Georgia and active in the NPI registry since July 2025. The organization lists Oluwafunmilola Sulaimon, Dnp,msn,pmhnp-bc, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Loyal Hearts Of Service Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Loyal Hearts Of Service LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Fayetteville, GA 30214
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Loyal Hearts Of Service LLC's NPI number?
The NPI number for Loyal Hearts Of Service LLC is 1962385278. It was assigned to this organization in the NPPES registry on July 26, 2025. The provider was formerly known as loyal hearts of service.
Where is Loyal Hearts Of Service LLC located?
Loyal Hearts Of Service LLC is located at 110 Habersham Dr Ste 149&151, Fayetteville, GA 30214. The listed phone number is (678) 374-1180.
What is Loyal Hearts Of Service LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Loyal Hearts Of Service LLC enrolled in Medicare?
Yes. Loyal Hearts Of Service LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Loyal Hearts Of Service LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Loyal Hearts Of Service LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Loyal Hearts Of Service LLC was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Loyal Hearts Of Service Llc · NPI 1962385278
Psychiatric/Mental Health organization in Fayetteville, Georgia. Organization record, active in the CMS NPPES registry since July 26, 2025.
## Identity
- **NPI:** 1962385278 (Entity type: Organization)
- **Enumerated:** July 26, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Also known as:** loyal hearts of service (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Oluwafunmilola Sulaimon, DNP,MSN,PMHNP-BC
## Practice location
- **Address:** 110 HABERSHAM DR STE 149&151, Fayetteville, GA 30214-1381
- **Phone:** (678) 374-1180
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1962385278) · Data from the CMS NPPES public registry.