Provider Demographics
NPI:1457451841
Name:FAITH HEALTH CARE SERVICES INC
Entity Type:Organization
Organization Name:FAITH HEALTH CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CONNELL
Authorized Official - Middle Name:FITZGERALD
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:763-424-4763
Mailing Address - Street 1:9300 75TH AVE N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55428-1032
Mailing Address - Country:US
Mailing Address - Phone:763-424-4763
Mailing Address - Fax:763-569-6993
Practice Address - Street 1:9300 75TH AVE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55428-1032
Practice Address - Country:US
Practice Address - Phone:763-424-4763
Practice Address - Fax:763-569-6993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN332135251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health