NPIMap

Organization Active NPI

Faithful Servant in Home Care

  • Developmentally Disabled Services Day Training Agency
  • Charlotte, NC
National Provider Identifier
1194050856
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
FAITHFUL SERVANT IN HOME CARE
Practice address
5505 Keyway Blvd Apt J
Charlotte, NC 28215-5747
Phone
(704) 535-2297
Fax
(704) 535-2298
NPI assigned
Oct 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Authorized official

Name
Ms. Sandra Jermills Miller
Title
Agency Director
Phone
(704) 712-1792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

5505 Keyway Blvd Apt J
Charlotte, NC 28215-5747

Mailing address

5505 Keyway Blvd
Charlotte, NC 28215-4466
Phone (704) 535-2297

National Provider Directory

National Provider Directory
Tax ID family
Faithful Servant in Home Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1194050856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 KEYWAY BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282154466",
            "telephone_number": "704-535-2297",
            "fax_number": "704-535-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 KEYWAY BLVD APT J",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282155747",
            "telephone_number": "704-535-2297",
            "fax_number": "704-535-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITHFUL SERVANT IN HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "JERMILLS",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "704-712-1792",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.