Provider Demographics
NPI:1316588999
Name:FAITH HOUSE HCS
Entity Type:Organization
Organization Name:FAITH HOUSE HCS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVENPORT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-207-0444
Mailing Address - Street 1:1416 ATKINS ST
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-8120
Mailing Address - Country:US
Mailing Address - Phone:214-207-0444
Mailing Address - Fax:214-207-0444
Practice Address - Street 1:2220 SWANSEE DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75232-1422
Practice Address - Country:US
Practice Address - Phone:214-207-0444
Practice Address - Fax:469-453-3306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-04
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251G00000XAgenciesHospice Care, Community Based