Active NPI
Faithful Servant in Home Care
- Home Health Agency
- Charlotte, NC
National Provider Identifier
1023137627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC3267
- Legal business name
- FAITHFUL SERVANT IN HOME CARE
- Practice address
- 1801 N Tryon St Ste B203
Charlotte, NC 28206-2741 - Phone
- (704) 405-1467
- Fax
- (704) 405-1468
- NPI assigned
- Mar 28, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Sandra Jermills Miller
- Title
- Agency Director
- Phone
- (704) 405-1467
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC3267 | NC | Primary |
Addresses
Primary practice location
1801 N Tryon St Ste B203
Charlotte, NC 28206-2741
Mailing address
1801 N Tryon St Ste B203
Charlotte, NC 28206-2741
Phone (704) 405-1467
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3418363 | Other | NC | COMMUNITY ALTERNATIVE |
National Provider Directory
National Provider Directory- Tax ID family
- Faithful Servant in Home Care
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Charlotte, NC
- NPI 1194050856
-
- In Home Supportive Care Agency
- Charlotte, NC
- NPI 1093889651
Locations
1801 N Tryon St
Ste B203
Charlotte, NC 28206
Phone (704) 405-1467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1023137627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 N TRYON ST STE B203",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282062741",
"telephone_number": "704-405-1467",
"fax_number": "704-405-1468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 N TRYON ST STE B203",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282062741",
"telephone_number": "704-405-1467",
"fax_number": "704-405-1468"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAITHFUL SERVANT IN HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "JERMILLS",
"authorized_official_title_or_position": "AGENCY DIRECTOR",
"authorized_official_telephone_number": "704-405-1467",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC3267",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY ALTERNATIVE",
"identifier": "3418363",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Faith Residential Homes LLC
- Faith Works Foundation
- Faith,Hope& Charity Community Development Inc.
- Faithful & True Global Healthcare Staffing, PLLC (All Is Well Lab Testing, PLLC)
- Faithful Foundation Home Care LLC
- Faithful Servant in Home Care
- Gail Czarnecki Faithful, M.A.
- Jessica Jeanne Faivor, M.S. ED.
- Adam Shah Faizi, DO
- Steliana Fakas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.