Provider Demographics
NPI:1255207346
Name:ANGELS OF FAITH HOMECARE LLC
Entity type:Organization
Organization Name:ANGELS OF FAITH HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EDDAH
Authorized Official - Middle Name:MUTHONI
Authorized Official - Last Name:KARANI
Authorized Official - Suffix:
Authorized Official - Credentials:MANAGMENT
Authorized Official - Phone:404-490-6497
Mailing Address - Street 1:258 HUNT CREEK DR
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-2289
Mailing Address - Country:US
Mailing Address - Phone:404-490-6497
Mailing Address - Fax:404-490-6497
Practice Address - Street 1:258 HUNT CREEK DR
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-2289
Practice Address - Country:US
Practice Address - Phone:404-490-6497
Practice Address - Fax:404-490-6497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-15
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care