Active NPI
Faith Medical Agency LLC
- Home Health Agency
- Atlanta, GA
National Provider Identifier
1144065145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryMember 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.