Provider Demographics
NPI:1073624151
Name:FAITH HEALTH CARE, INC.
Entity Type:Organization
Organization Name:FAITH HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:
Authorized Official - Last Name:SOSKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-228-4800
Mailing Address - Street 1:11401 SW 40TH ST STE 250
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-3348
Mailing Address - Country:US
Mailing Address - Phone:305-228-4800
Mailing Address - Fax:305-228-6166
Practice Address - Street 1:11401 SW 40TH ST STE 250
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-3348
Practice Address - Country:US
Practice Address - Phone:305-228-4800
Practice Address - Fax:305-228-6166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20338096251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002857400Medicaid
FL003197000OtherMEDICAID WAIVER
FL107673Medicare Oscar/Certification