Provider Demographics
NPI:1265284145
Name:FAITH FILLED HANDS LLC
Entity type:Organization
Organization Name:FAITH FILLED HANDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GLENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-499-7705
Mailing Address - Street 1:2737 E 56TH ST STE E
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-3500
Mailing Address - Country:US
Mailing Address - Phone:317-499-7705
Mailing Address - Fax:317-426-3167
Practice Address - Street 1:2737 E 56TH ST STE E
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-3500
Practice Address - Country:US
Practice Address - Phone:317-499-7705
Practice Address - Fax:317-426-3167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care