Organization Active NPI

Christian Faith Home Care LLC

  • In Home Supportive Care Agency
  • North Myrtle Beach, SC
National Provider Identifier
1003790007
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CHRISTIAN FAITH HOME CARE LLC
Practice address
2423 Highway 17 S Ste 32201623
North Myrtle Beach, SC 29582-4343
Phone
(910) 916-4022
Fax
(910) 809-2327
NPI assigned
Aug 4, 2025
Last updated
Aug 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Shazada Keith
Title
Director
Phone
(910) 777-9402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

2423 Highway 17 S Ste 32201623
North Myrtle Beach, SC 29582-4343

Mailing address

PO Box 53281
Fayetteville, NC 28305-3281
Phone (910) 916-4022

National Provider Directory

National Provider Directory

Locations

2423 Highway 17 S
Ste 32201623
North Myrtle Beach, SC 29582
Phone (910) 916-4022

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1003790007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53281",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283053281",
            "telephone_number": "910-916-4022",
            "fax_number": "910-809-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 HIGHWAY 17 S STE 32201623",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295824343",
            "telephone_number": "910-916-4022",
            "fax_number": "910-809-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN FAITH HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-03",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "SHAZADA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-777-9402",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.