Organization Active NPI

Faith Home Health LLC

  • Home Health Agency
  • Phoenix, AZ
National Provider Identifier
1114660834
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FAITH HOME HEALTH LLC
Practice address
522 N Central Ave
#831
Phoenix, AZ 85004
Phone
(214) 301-4061
NPI assigned
Apr 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

Name
Tierra Fluker
Title
Owner
Phone
(945) 336-5245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

522 N Central Ave
#831
Phoenix, AZ 85004

Mailing address

8651 Highway N Ste 100
Lake St Louis, MO 63367-4057

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL faithhomehealthllc@gmail.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1114660834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8651 HIGHWAY N STE 100",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633674057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N CENTRAL AVE",
            "address_2": "#831",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85004",
            "telephone_number": "214-301-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-01",
        "status": "A",
        "authorized_official_last_name": "FLUKER",
        "authorized_official_first_name": "TIERRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "945-336-5245"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "faithhomehealthllc@gmail.com",
            "affiliation": "N",
            "address_1": "8651 Highway N Ste 100",
            "city": "Lake St Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633674057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.