Provider Demographics
NPI:1689954901
Name:BY FAITH HOME CARE SERVICES, INC
Entity Type:Organization
Organization Name:BY FAITH HOME CARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:L
Authorized Official - Last Name:HEDGEPETH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-459-2325
Mailing Address - Street 1:PO BOX 491
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27856-0491
Mailing Address - Country:US
Mailing Address - Phone:252-459-2325
Mailing Address - Fax:252-459-2311
Practice Address - Street 1:501 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:NC
Practice Address - Zip Code:27856-1123
Practice Address - Country:US
Practice Address - Phone:252-459-2325
Practice Address - Fax:252-459-2311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-17
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health