Organization Active NPI

Faithful Nubian Services, LLC

  • Home Health Agency
  • Newport News, VA
National Provider Identifier
1013364512
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FAITHFUL NUBIAN SERVICES, LLC
Practice address
410 Hustings LN
Unit E
Newport News, VA 23608-2807
Phone
(757) 491-3941
Fax
(757) 325-8283
NPI assigned
May 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Authorized official

Name
Surena GloverNPI 1407209323
Title
Owner
Phone
(757) 419-3941

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

410 Hustings LN
Unit E
Newport News, VA 23608-2807

Mailing address

410 Hustings LN
Unit E
Newport News, VA 23608-2807
Phone (757) 491-3941

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1013364512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 HUSTINGS LN",
            "address_2": "UNIT E",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236082807",
            "telephone_number": "757-491-3941",
            "fax_number": "757-325-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 HUSTINGS LN",
            "address_2": "UNIT E",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236082807",
            "telephone_number": "757-491-3941",
            "fax_number": "757-325-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITHFUL NUBIAN SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "SURENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-419-3941"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.