Provider Demographics
NPI:1497168025
Name:FAITH HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:FAITH HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KEZIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:KOHATH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-730-4370
Mailing Address - Street 1:239 WILLOW STREET
Mailing Address - Street 2:
Mailing Address - City:MACUNGIE
Mailing Address - State:PA
Mailing Address - Zip Code:18062
Mailing Address - Country:US
Mailing Address - Phone:610-730-4370
Mailing Address - Fax:610-767-4832
Practice Address - Street 1:239 WILLOW STREET
Practice Address - Street 2:
Practice Address - City:MACUNGIE
Practice Address - State:PA
Practice Address - Zip Code:18062
Practice Address - Country:US
Practice Address - Phone:610-730-4370
Practice Address - Fax:610-767-4832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-11
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Single Specialty