Organization Active NPI

Faith Presbyterian Providers Inc

  • Community Based Hospice Care Agency
  • Dallas, TX
National Provider Identifier
1114259231
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
FAITH PRESBYTERIAN PROVIDERS INC
Practice address
12477 Merit Dr
Dallas, TX 75251
Phone
(972) 239-5300
Fax
(214) 355-3950
NPI assigned
Feb 1, 2010
Organization subpart
Yes
Parent organization
PRESBYTERIAN COMMUNITIES AND SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Authorized official

Name
Mark Earl Richardson
Title
Director Healthcare Services
Phone
(214) 226-8068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

12477 Merit Dr
Dallas, TX 75251

Mailing address

12477 Merit Dr
Dallas, TX 75251-2344
Phone (972) 239-5300

Other practice location 1

6100 Colwell Blvd
Irving, TX 75039-3145
Phone (214) 413-1500

National Provider Directory

National Provider Directory

Locations

6100 Colwell Blvd
Ste 225
Irving, TX 75039

6100 Colwell Blvd
Irving, TX 75039
Phone (214) 413-1500

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1114259231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12477 MERIT DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512344",
            "telephone_number": "972-239-5300",
            "fax_number": "214-355-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12477 MERIT DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75251",
            "telephone_number": "972-239-5300",
            "fax_number": "214-355-3950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6100 Colwell Blvd",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750393145",
            "country_code": "US",
            "telephone_number": "214-413-1500",
            "fax_number": "214-413-1525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAITH PRESBYTERIAN PROVIDERS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESBYTERIAN COMMUNITIES AND SERVICES",
        "enumeration_date": "2010-02-01",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "DIRECTOR HEALTHCARE SERVICES",
        "authorized_official_telephone_number": "214-226-8068"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.