Faith Homecare, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

11736 Issued in AL

Legal business name

FAITH HOMECARE, INC.

Practice address

60008 Highway 22
Roanoke, AL 36274-2419

Phone

(334) 863-6006

Fax

(334) 863-5312

NPI assigned

Apr 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Charles Wayne Willard Sr., RN

Title

President / Ceo

Phone

(256) 215-6006

Specialties & licenses 1

Addresses

Other names 1

• Faith Hospice Doing business as

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104882778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ALEX CITY SHOPPING CTR DR",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350102787",
            "telephone_number": "256-215-6006",
            "fax_number": "256-215-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60008 HIGHWAY 22",
            "city": "ROANOKE",
            "state": "AL",
            "postal_code": "362742419",
            "telephone_number": "334-863-6006",
            "fax_number": "334-863-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HOMECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLARD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "256-215-6006",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AL",
            "license": "11736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faith Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Roanoke, AL
• Community Based Hospice Care Agency in Alabama

• 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.