Christian Faith Home Care Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CHRISTIAN FAITH HOME CARE AGENCY

Doing business as

Christian Faith Home Care Agency

Practice address

120 James St Ste 1B
Laurinburg, NC 28352-3866

Phone

(910) 777-9402

Fax

(910) 809-2327

NPI assigned

Sep 15, 2023

Organization subpart

No

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

Authorized official

Name

Shazada Keith

Title

Director

Phone

(910) 777-9402

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Christian Faith Home Care Agency Doing business as

Locations

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1053199729",
    "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": "910-777-9402",
            "fax_number": "910-809-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 JAMES ST STE 1B",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283523866",
            "telephone_number": "910-777-9402",
            "fax_number": "910-809-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN FAITH HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "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"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIVISION OF HEALTH SERVICE REGULATION",
            "identifier": "HC7282",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC7282",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Faith Home Care Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Christian Faith Home Care Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Lynn Chavis, FNP
• Plummer Ray Chavis, D.D.S.
• Mackenzie Nicole Cherry, NP
• Yalan Chiang
• Childrens Treatment Center Inc
• Marc Christiansen, MARC CHRISTIANSEN
• Naomi Chun, OD
• Carla Clark-McRae, LCSW
• Adam D Clark, PAC
• Candice Clark, LCSWA

• Home Health Agency in Laurinburg, NC
• Providers in Laurinburg, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.