Provider Demographics
NPI:1265298806
Name:NFAITH LLC
Entity type:Organization
Organization Name:NFAITH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:BRANCH
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:804-477-7851
Mailing Address - Street 1:5935 HOPKINS RD STE 204
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23234-5436
Mailing Address - Country:US
Mailing Address - Phone:804-477-7851
Mailing Address - Fax:804-340-6969
Practice Address - Street 1:5935 HOPKINS RD STE 204
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23234-5436
Practice Address - Country:US
Practice Address - Phone:804-420-7397
Practice Address - Fax:804-340-6969
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NFAITH LLC SABRINA B. GRIFFIN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-22
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
No251B00000XAgenciesCase ManagementGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0811185401Medicaid