Provider Demographics
NPI:1326465568
Name:FAITH HOME HEALTHCARE, LLC
Entity Type:Organization
Organization Name:FAITH HOME HEALTHCARE, LLC
Other - Org Name:FAITH HOME HEALTHCARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLICIA
Authorized Official - Middle Name:LAQUELLE
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-865-9833
Mailing Address - Street 1:3918 DICKERSON PIKE SUITE 103
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207
Mailing Address - Country:US
Mailing Address - Phone:615-568-5419
Mailing Address - Fax:
Practice Address - Street 1:2401 SCOVEL ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37208-2840
Practice Address - Country:US
Practice Address - Phone:615-568-5419
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAITH HOME HEALTHCARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-03-26
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNI000000014252251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health