Provider Demographics
NPI:1619416153
Name:FAITHINHIM HEALTH SERVICES
Entity Type:Organization
Organization Name:FAITHINHIM HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINITRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:OLATAYO
Authorized Official - Middle Name:O
Authorized Official - Last Name:ASIMIYU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-807-1450
Mailing Address - Street 1:8700 CONMMERCE PARK DR
Mailing Address - Street 2:#119
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036
Mailing Address - Country:US
Mailing Address - Phone:832-807-1450
Mailing Address - Fax:281-498-3201
Practice Address - Street 1:8700 COMMERCE PARK DR
Practice Address - Street 2:#119
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-7497
Practice Address - Country:US
Practice Address - Phone:832-807-1450
Practice Address - Fax:281-498-3201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-16
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010417251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health