Provider Demographics
NPI:1699840066
Name:THOMPSON, FAITH ANN (HOMECARE PROVIDER)
Entity Type:Individual
Prefix:MRS
First Name:FAITH
Middle Name:ANN
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:HOMECARE PROVIDER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:719 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43610-1302
Mailing Address - Country:US
Mailing Address - Phone:419-243-6779
Mailing Address - Fax:
Practice Address - Street 1:719 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43610-1302
Practice Address - Country:US
Practice Address - Phone:419-243-6779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2276728Medicaid