Provider Demographics
NPI:1346773769
Name:FAITH, HOPE & LOVE HOMECARE, LLC
Entity Type:Organization
Organization Name:FAITH, HOPE & LOVE HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FELISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-546-9485
Mailing Address - Street 1:29 GARY CT APT D
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63301-2360
Mailing Address - Country:US
Mailing Address - Phone:314-546-9485
Mailing Address - Fax:314-260-1116
Practice Address - Street 1:29 GARY CT APT D
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301-2360
Practice Address - Country:US
Practice Address - Phone:314-546-9485
Practice Address - Fax:314-260-1116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-04
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care