Provider Demographics
NPI:1841514635
Name:FAITH HOME CARE
Entity type:Organization
Organization Name:FAITH HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL DIRECTOR/ OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAPATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:YARBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-223-8642
Mailing Address - Street 1:1501 CARMACK BLVD
Mailing Address - Street 2:D
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-4173
Mailing Address - Country:US
Mailing Address - Phone:931-223-8642
Mailing Address - Fax:931-223-8643
Practice Address - Street 1:1501 CARMACK BLVD
Practice Address - Street 2:D
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-4173
Practice Address - Country:US
Practice Address - Phone:931-223-8642
Practice Address - Fax:931-223-8643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-23
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1000000006159253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care