Provider Demographics
NPI:1982247680
Name:FAITHFUL HANDS OF CARE
Entity Type:Organization
Organization Name:FAITHFUL HANDS OF CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENESIS
Authorized Official - Middle Name:S
Authorized Official - Last Name:COUNCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-912-7803
Mailing Address - Street 1:6213 E 108TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64134-2530
Mailing Address - Country:US
Mailing Address - Phone:816-912-7803
Mailing Address - Fax:
Practice Address - Street 1:6213 E 108TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64134-2530
Practice Address - Country:US
Practice Address - Phone:816-912-7803
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-25
Last Update Date:2019-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty