Organization Active NPI

Faith Healthcare LLC

Doing business as Faith Home Healthcare

  • Home Health Agency
  • Gladstone, MO
National Provider Identifier
1104345164
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FAITH HEALTHCARE LLC
Doing business as
Faith Home Healthcare
Practice address
2700 NE Kendallwood Pkwy
Suite 100
Gladstone, MO 64119-2060
Phone
(913) 296-7636
Fax
(913) 296-7638
NPI assigned
Sep 11, 2017
Last updated
Dec 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Authorized official

Name
David J Jones
Title
Ceo
Phone
(913) 296-7636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2700 NE Kendallwood Pkwy
Suite 100
Gladstone, MO 64119-2060

Mailing address

11827 W 112TH St Ste 100
Overland Park, KS 66210-2700
Phone (913) 296-7636

Other names 1

  • Faith Home Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171218001134 MO Part A Provider - Home Health Agency 8022376250 Practice locations: Gladstone, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104345164. Details of each certification follow.

Home health agency certification: CCN 267666

Legal name
FAITH HEALTHCARE LLC
Doing business as
FAITH HOME HEALTHCARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 5, 2018
Last certification
Jun 5, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Sep 11, 2017 in MO
Enrollment address
2700 NE Kendallwood Pkwy
Ste 100
Gladstone, MO 64119-2060

Care Compare: Home health agency

Medicare Care Compare
Listed as
Faith Home HealthcareCCN 267666 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jun 5, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2137977Faith Healthcare LLC2700 NE Kendallwood Parkway Suite 100, Gladstone, MO 64119Certificate of waiverOct 5, 2027

National Provider Directory

National Provider Directory

Locations

2601 NE Kendallwood Pkwy
Ste 212
Gladstone, MO 64119

2700 NE Kendallwood Pkwy
Ste 100
Kansas City, MO 64119
Phone (913) 296-7636

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Beverly a Kimzey Individual Corporate OfficerCeo Aug 22, 2024 100%
W-2 Managing EmployeeCeo Aug 22, 2024 100%
Bill Creach Individual 5% Or Greater Indirect Ownership Interest Aug 22, 2024 37.8%
Sharla Creach Individual 5% Or Greater Indirect Ownership Interest Aug 22, 2024 35.9%
Bill Creach Irrevocable Trust for Charles R Creach Organization, Jensen Beach, FL 5% Or Greater Indirect Ownership Interest Aug 22, 2024 6.5%
Cfh01 Sacred Heart, LLC Organization, Jensen Beach, FL LLC, Holding company 5% Or Greater Indirect Ownership Interest Aug 22, 2024 100%
Charles R Creach Individual Other Aug 22, 2024
Bill Creach Irrevocable Trust for Bill E Creach Organization, Jensen Beach, FL 5% Or Greater Indirect Ownership Interest Aug 22, 2024 5.9%
Frederick R Creach Individual Other Aug 22, 2024
Bill Creach Irrevocable Trust for Frederick R Creach Organization, Jensen Beach, FL 5% Or Greater Indirect Ownership Interest Aug 22, 2024 5.8%
Sacred Heart Health, Inc. Organization, Overland Park, KS Corporation 5% Or Greater Direct Ownership Interest Mar 14, 2022 100%
Operational/Managerial Control Mar 14, 2022 100%
Bill E Creach Individual Corporate DirectorChairman of the Board Aug 22, 2024 100%
Other Aug 22, 2024

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 12

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1104345164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11827 W 112TH ST STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102700",
            "telephone_number": "913-296-7636",
            "fax_number": "913-296-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 NE KENDALLWOOD PKWY",
            "address_2": "SUITE 100",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641192060",
            "telephone_number": "913-296-7636",
            "fax_number": "913-296-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "913-296-7636"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faith Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gladstone, MO

Sources for this page

Verify at the official NPI Registry.