Provider Demographics
NPI:1558600759
Name:FAITHFUL NURSES HOME HEALTH CARE SERVICES LLC
Entity Type:Organization
Organization Name:FAITHFUL NURSES HOME HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:EUNICE ANYANGO
Authorized Official - Last Name:OWADE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:609-220-0432
Mailing Address - Street 1:3 STEVE WAY
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-1540
Mailing Address - Country:US
Mailing Address - Phone:609-220-0432
Mailing Address - Fax:410-529-1139
Practice Address - Street 1:3 STEVE WAY
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-1540
Practice Address - Country:US
Practice Address - Phone:609-220-0432
Practice Address - Fax:410-529-1139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-07
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3402P251E00000X, 251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care