Organization Active NPI

Faith Home Care Agency LLC

  • Home Health Agency
  • Richmond, TX
National Provider Identifier
1154877975
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FAITH HOME CARE AGENCY LLC
Practice address
4003 Lake Brazos LN
Richmond, TX 77406-8092
Phone
(281) 750-0900
Fax
(281) 750-0901
NPI assigned
Aug 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
Debo Jokodola
Title
Manager
Phone
(281) 750-0900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Alzheimer Center (Dementia Center) 311500000X

Addresses

Primary practice location

4003 Lake Brazos LN
Richmond, TX 77406-8092

Mailing address

4003 Lake Brazos LN
Richmond, TX 77406-8092
Phone (281) 750-0900

Other names 1

  • faith assisted living homes Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1154877975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 LAKE BRAZOS LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774068092",
            "telephone_number": "281-750-0900",
            "fax_number": "281-750-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 LAKE BRAZOS LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774068092",
            "telephone_number": "281-750-0900",
            "fax_number": "281-750-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "JOKODOLA",
        "authorized_official_first_name": "DEBO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-750-0900"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "faith assisted living homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.