Provider Demographics
NPI:1336610112
Name:IMAGINE FAITH BELIEVE LLC
Entity Type:Organization
Organization Name:IMAGINE FAITH BELIEVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANIES
Authorized Official - Middle Name:J
Authorized Official - Last Name:DUNBAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-902-2340
Mailing Address - Street 1:6106 RAINTREE DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7095
Mailing Address - Country:US
Mailing Address - Phone:281-902-2340
Mailing Address - Fax:
Practice Address - Street 1:6106 RAINTREE DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7095
Practice Address - Country:US
Practice Address - Phone:281-902-2340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:IMAGINE FAITH BELIEVE HOME HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-12-05
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372500000XNursing Service Related ProvidersChore ProviderGroup - Single Specialty
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3-20644-1572-5OtherTEXAS SALES AND USE TAX PERMIT
TX802777595OtherSECRETARY OF STATE