Provider Demographics
NPI:1275925133
Name:FAITH MEASURES NETWORK,LLC
Entity Type:Organization
Organization Name:FAITH MEASURES NETWORK,LLC
Other - Org Name:FAITH MEASURES CAREGIVERS
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO/MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:FAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-921-1717
Mailing Address - Street 1:723 CORINTHIAN AVE FL 3
Mailing Address - Street 2:APTC
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19130-2614
Mailing Address - Country:US
Mailing Address - Phone:215-921-1717
Mailing Address - Fax:610-441-7996
Practice Address - Street 1:723 CORINTHIAN AVE
Practice Address - Street 2:APTC
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19130-2614
Practice Address - Country:US
Practice Address - Phone:866-622-7119
Practice Address - Fax:610-441-7996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-02
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA27313601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care