Provider Demographics
NPI:1063006245
Name:SCHIMPF, FAITH ANN
Entity Type:Individual
Prefix:
First Name:FAITH
Middle Name:ANN
Last Name:SCHIMPF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 HOLLAND AVE LOT 14
Mailing Address - Street 2:
Mailing Address - City:DELPHOS
Mailing Address - State:OH
Mailing Address - Zip Code:45833-3307
Mailing Address - Country:US
Mailing Address - Phone:419-604-2585
Mailing Address - Fax:
Practice Address - Street 1:1536 CRAYTON AVE
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45805-3722
Practice Address - Country:US
Practice Address - Phone:419-604-2585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-27
Last Update Date:2021-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide