Organization Active NPI

Faithful Servant Home Care Services

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1093889651
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FAITHFUL SERVANT HOME CARE SERVICES
Practice address
4801 E. Independence Blvd. Suite 1000
Suite 1000
Charlotte, NC 28212-5490
Phone
(704) 726-5486
Fax
(704) 259-9002
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Authorized official

Name
Sandra Jermills Miller
Title
Agency Director
Phone
(704) 726-5786

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3267 NC
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4801 E. Independence Blvd. Suite 1000
Suite 1000
Charlotte, NC 28212-5490

Mailing address

4801 E. Independence Blvd. Suite 1000
Suite 1000
Charlotte, NC 28212-5490
Phone (704) 726-5486

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

4801 E Independence Blvd
Ste 1000
Charlotte, NC 28212
Phone (704) 726-5486

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1093889651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 E. INDEPENDENCE BLVD. SUITE 1000",
            "address_2": "SUITE 1000",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282125490",
            "telephone_number": "704-726-5486",
            "fax_number": "704-259-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 E. INDEPENDENCE BLVD. SUITE 1000",
            "address_2": "SUITE 1000",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282125490",
            "telephone_number": "704-726-5486",
            "fax_number": "704-259-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITHFUL SERVANT HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2019-06-12",
        "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": "704-726-5786"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3267",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 12, 2019; 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.