Provider Demographics
NPI:1407967417
Name:FAITH AND CARE HOME HEALTH AGENCY
Entity Type:Organization
Organization Name:FAITH AND CARE HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN/CFO
Authorized Official - Prefix:
Authorized Official - First Name:HAZEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSE
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:979-826-2428
Mailing Address - Street 1:835 1ST ST
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:TX
Mailing Address - Zip Code:77445-5541
Mailing Address - Country:US
Mailing Address - Phone:979-826-2428
Mailing Address - Fax:979-826-3811
Practice Address - Street 1:835 1ST ST
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:TX
Practice Address - Zip Code:77445-5541
Practice Address - Country:US
Practice Address - Phone:979-826-2428
Practice Address - Fax:979-826-3811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009244251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX457903Medicare ID - Type Unspecified