Organization Active NPI

Faithful Servant in Home Care

  • Home Health Agency
  • Charlotte, NC
National Provider Identifier
1023137627
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3267 Issued in NC
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3418363OtherNCCOMMUNITY ALTERNATIVE

National Provider Directory

National Provider Directory
Tax ID family
Faithful Servant in Home Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.