Organization Active NPI

Faith Medical Agency LLC

  • Home Health Agency
  • Atlanta, GA
National Provider Identifier
1144065145
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FAITH MEDICAL AGENCY LLC
Practice address
1590 Phoenix Blvd Ste 260
Atlanta, GA 30349-5578
Phone
(678) 821-2052
Fax
(404) 506-9400
NPI assigned
Jul 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Paul Aiyeyomi
Title
Administrator
Phone
(678) 508-0605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1590 Phoenix Blvd Ste 260
Atlanta, GA 30349-5578

Mailing address

1590 Phoenix Blvd Ste 260
Atlanta, GA 30349-5578
Phone (678) 821-2052

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1590 Phoenix Blvd
Ste 260
Atlanta, GA 30349
Phone (678) 821-2052

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1144065145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 PHOENIX BLVD STE 260",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495578",
            "telephone_number": "678-821-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 PHOENIX BLVD STE 260",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495578",
            "telephone_number": "678-821-2052",
            "fax_number": "404-506-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH MEDICAL AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-06-30",
        "status": "A",
        "authorized_official_last_name": "AIYEYOMI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-508-0605"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.