Provider Demographics
NPI:1760065726
Name:FAITH HOME HEALTHCARE INC
Entity Type:Organization
Organization Name:FAITH HOME HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATIENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:POPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-905-9560
Mailing Address - Street 1:71510 SUN VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:TWENTYNINE PALMS
Mailing Address - State:CA
Mailing Address - Zip Code:92277-4085
Mailing Address - Country:US
Mailing Address - Phone:760-974-7018
Mailing Address - Fax:760-800-1131
Practice Address - Street 1:7281 DUMOSA AVE STE 7
Practice Address - Street 2:
Practice Address - City:YUCCA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92284-3782
Practice Address - Country:US
Practice Address - Phone:760-974-7018
Practice Address - Fax:760-800-1131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-28
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health