Provider Demographics
NPI:1649887027
Name:FAITHHOUSE REHABILITATION SERVICES INC
Entity type:Organization
Organization Name:FAITHHOUSE REHABILITATION SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:AMAKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-691-8824
Mailing Address - Street 1:6633 W AIRPORT BLVD APT 806
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-5279
Mailing Address - Country:US
Mailing Address - Phone:281-691-8824
Mailing Address - Fax:
Practice Address - Street 1:6633 W AIRPORT BLVD APT 806
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-5279
Practice Address - Country:US
Practice Address - Phone:281-691-8824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-29
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care