Provider Demographics
NPI:1013964428
Name:FAITH HOMECARE SERVICES, LLC.
Entity Type:Organization
Organization Name:FAITH HOMECARE SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ISABEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TCRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-447-0100
Mailing Address - Street 1:28431 UTICA RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:ROSEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48066-2532
Mailing Address - Country:US
Mailing Address - Phone:586-447-0100
Mailing Address - Fax:586-447-0102
Practice Address - Street 1:28431 UTICA RD
Practice Address - Street 2:SUITE B
Practice Address - City:ROSEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48066-2532
Practice Address - Country:US
Practice Address - Phone:586-447-0100
Practice Address - Fax:586-447-0102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-30
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X-HOME HEAL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI408753OtherJCAHO I.D NUMBER
MI408753OtherJCAHO I.D NUMBER