Provider Demographics
NPI:1811588155
Name:GOOD FAITH HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:GOOD FAITH HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAMONA
Authorized Official - Middle Name:
Authorized Official - Last Name:KRISTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-370-9676
Mailing Address - Street 1:1326 WEBER CT
Mailing Address - Street 2:
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-5850
Mailing Address - Country:US
Mailing Address - Phone:412-370-9676
Mailing Address - Fax:
Practice Address - Street 1:1326 WEBER CT
Practice Address - Street 2:
Practice Address - City:IRWIN
Practice Address - State:PA
Practice Address - Zip Code:15642-5850
Practice Address - Country:US
Practice Address - Phone:412-370-9676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-29
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care