Provider Demographics
NPI:1700026572
Name:FAITH HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:FAITH HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SAMEER
Authorized Official - Middle Name:S
Authorized Official - Last Name:BHAGWAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-996-5025
Mailing Address - Street 1:27950 ORCHARD LAKE RD
Mailing Address - Street 2:STE 112
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3758
Mailing Address - Country:US
Mailing Address - Phone:248-996-5025
Mailing Address - Fax:
Practice Address - Street 1:27950 ORCHARD LAKE RD
Practice Address - Street 2:STE 112
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3758
Practice Address - Country:US
Practice Address - Phone:248-996-5025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-05
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health