Provider Demographics
NPI:1255985578
Name:FAITH HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:FAITH HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
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:760-905-9560
Mailing Address - Fax:
Practice Address - Street 1:71510 SUN VALLEY DR
Practice Address - Street 2:
Practice Address - City:TWENTYNINE PALMS
Practice Address - State:CA
Practice Address - Zip Code:92277-4085
Practice Address - Country:US
Practice Address - Phone:760-905-9560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAITH HOME HEALTHCARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-25
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care