Provider Demographics
NPI:1003695370
Name:FAITH HOSPICE CARE LLC
Entity Type:Organization
Organization Name:FAITH HOSPICE CARE LLC
Other - Org Name:FAITH HOSPICE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GEETAKUMARI
Authorized Official - Middle Name:B
Authorized Official - Last Name:FOFANDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-244-2480
Mailing Address - Street 1:271 US HIGHWAY 46 STE H208
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07004-2490
Mailing Address - Country:US
Mailing Address - Phone:973-244-2480
Mailing Address - Fax:973-629-1654
Practice Address - Street 1:271 US HIGHWAY 46 STE H208
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07004-2490
Practice Address - Country:US
Practice Address - Phone:973-244-2480
Practice Address - Fax:973-629-1672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-26
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based