NPIMap

Organization Active NPI

Faith Community Hospital Home Health

  • Home Health Agency
  • Jacksboro, TX
National Provider Identifier
1104818723
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
002095 Issued in TX
Legal business name
FAITH COMMUNITY HOSPITAL HOME HEALTH
Practice address
717 Magnolia St
Jacksboro, TX 76458-1111
Phone
(940) 567-6633
Fax
(940) 567-5714
NPI assigned
Aug 19, 2005
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
Donald Hopkins
Title
Administration/Ceo
Phone
(940) 567-6633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 002095 TX Primary

Addresses

Primary practice location

717 Magnolia St
Jacksboro, TX 76458-1111

Mailing address

717 Magnolia St
Jacksboro, TX 76458-1111
Phone (940) 567-6633

National Provider Directory

National Provider Directory
Tax ID family
Faith Community Hosp14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104818723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 MAGNOLIA ST",
            "city": "JACKSBORO",
            "state": "TX",
            "postal_code": "764581111",
            "telephone_number": "940-567-6633",
            "fax_number": "940-567-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 MAGNOLIA ST",
            "city": "JACKSBORO",
            "state": "TX",
            "postal_code": "764581111",
            "telephone_number": "940-567-6633",
            "fax_number": "940-567-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH COMMUNITY HOSPITAL HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "ADMINISTRATION/CEO",
        "authorized_official_telephone_number": "940-567-6633"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "002095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksboro, TX

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.