Provider Demographics
NPI:1154331700
Name:FAITH CHRISTIAN FELLOWSHIP
Entity Type:Organization
Organization Name:FAITH CHRISTIAN FELLOWSHIP
Other - Org Name:FAITH HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CORTEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-425-8967
Mailing Address - Street 1:322 E TAYLOR ST
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-6921
Mailing Address - Country:US
Mailing Address - Phone:956-425-8967
Mailing Address - Fax:956-425-7340
Practice Address - Street 1:322 E TAYLOR ST
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-6921
Practice Address - Country:US
Practice Address - Phone:956-425-8967
Practice Address - Fax:956-425-7340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health