Provider Demographics
NPI:1811657901
Name:FAITH HOME CARE, INC
Entity type:Organization
Organization Name:FAITH HOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BLANCA
Authorized Official - Middle Name:E
Authorized Official - Last Name:VILLARREAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-475-2430
Mailing Address - Street 1:200 E INTERSTATE 2 STE O
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-6506
Mailing Address - Country:US
Mailing Address - Phone:956-258-5558
Mailing Address - Fax:956-258-5508
Practice Address - Street 1:200 E INTERSTATE 2 STE O
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-6506
Practice Address - Country:US
Practice Address - Phone:956-258-5558
Practice Address - Fax:956-258-5508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-30
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center