Provider Demographics
NPI:1508037086
Name:FAITH CARING SVCS
Entity Type:Organization
Organization Name:FAITH CARING SVCS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLWELL
Authorized Official - Middle Name:A
Authorized Official - Last Name:OPUSUNJU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-302-3185
Mailing Address - Street 1:1898 ERLANGER DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816
Mailing Address - Country:US
Mailing Address - Phone:225-275-8562
Mailing Address - Fax:225-275-8524
Practice Address - Street 1:1898 ERLANGER DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816
Practice Address - Country:US
Practice Address - Phone:225-275-8562
Practice Address - Fax:225-275-8524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-12
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPCA11557251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1621358OtherWAVIER