Provider Demographics
NPI:1881771707
Name:FAITH HOME HEALTH,INC
Entity type:Organization
Organization Name:FAITH HOME HEALTH,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:OKPALEKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-875-4188
Mailing Address - Street 1:3202 N HOWARD AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-1614
Mailing Address - Country:US
Mailing Address - Phone:850-727-8090
Mailing Address - Fax:850-727-8093
Practice Address - Street 1:7505 S GADSDEN STREET, SUITE 200
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301
Practice Address - Country:US
Practice Address - Phone:850-727-8090
Practice Address - Fax:850-727-8093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992264251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL651248800Medicaid
FL651248800Medicaid