Provider Demographics
NPI:1497415657
Name:FAITHFUL TOUCH HOME CARE LLC
Entity Type:Organization
Organization Name:FAITHFUL TOUCH HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:REGGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HICKMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-856-9618
Mailing Address - Street 1:137 RUSH AVE
Mailing Address - Street 2:
Mailing Address - City:BISHOPVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29010-7240
Mailing Address - Country:US
Mailing Address - Phone:803-856-9618
Mailing Address - Fax:803-428-6940
Practice Address - Street 1:455 RAST ST
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-2579
Practice Address - Country:US
Practice Address - Phone:803-774-0027
Practice Address - Fax:803-774-0027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-28
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health