Faith Home Care LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

FAITH HOME CARE LLC

Practice address

1013 Jarrow PL
Grovetown, GA 30813-2234

Phone

(706) 772-0915

NPI assigned

Aug 26, 2024

Organization subpart

No

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

Authorized official

Name

Victoria SullivanNPI 1376376277

Title

Owner

Phone

(404) 290-1219

Specialties & licenses 1

Addresses

Practitioners 1

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

• Victoria Sullivan

  • Home Health Registered Nurse
  • Grovetown, GA
  • NPI 1376376277
  NPD Authorized official

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1063245983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 JARROW PL",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308132234",
            "telephone_number": "706-772-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 JARROW PL",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308132234",
            "telephone_number": "706-772-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-25",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-290-1219"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Crew Dunn, FNP-BC
• Shawnise Edmondson
• Ekaa Care and Support Provider
• Ranardia Gaillard English
• Daniel Jules Estopinal, LCSW
• Cory Mark Falde
• Adebo Comfort Faokunla
• Caitlin Stallings Fealko, OTR/L
• Paul M Fischer, MD
• Hannah Gullickson Folsom, DO

• Nursing Care Agency in Grovetown, GA
• Providers in Grovetown, GA by specialty
• Nursing Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.