Faith Residential Services

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

FAITH RESIDENTIAL SERVICES

Practice address

516 W Jones St
Longview, TX 75602-5213

Phone

(903) 234-1188

Fax

(903) 236-0244

NPI assigned

Aug 27, 2011

Organization subpart

No

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

Authorized official

Name

Sarah Gay Willie

Title

Owner

Phone

(903) 234-1188

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1314403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314403200000",
    "number": "1144500604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 W JONES ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756025213",
            "telephone_number": "903-234-1188",
            "fax_number": "903-236-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W JONES ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756025213",
            "telephone_number": "903-234-1188",
            "fax_number": "903-236-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-27",
        "last_updated": "2011-08-27",
        "status": "A",
        "authorized_official_last_name": "WILLIE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "GAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-234-1188"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Faber
• Fadal Pediatric Dentistry, PA
• Ronald Nelson Fadal, D.D.S.
• Willem H Fahrenbruck, LCPC
• Faith Palliative Care Management, Inc.
• Faithfully Restored
• Morgan Meazell Falish, PTA
• Adewunmi Falohun
• Family Focus Wellness Center
• James Edward Farr Jr., M.D.

• Assisted Living Facility (Mental Illness) in Longview, TX
• Providers in Longview, TX by specialty
• Assisted Living Facility (Mental Illness) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2011; 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.