Provider Demographics
NPI:1598100604
Name:CHRISTIAN FAITH HOME HEALTH CARE & REHAB, LLC
Entity Type:Organization
Organization Name:CHRISTIAN FAITH HOME HEALTH CARE & REHAB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FAITH
Authorized Official - Middle Name:JONES
Authorized Official - Last Name:GOFF
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:281-969-3811
Mailing Address - Street 1:8111 CICADA DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-5771
Mailing Address - Country:US
Mailing Address - Phone:281-969-3811
Mailing Address - Fax:
Practice Address - Street 1:8111 CICADA DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-5771
Practice Address - Country:US
Practice Address - Phone:281-969-3811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-02
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0Medicare PIN