Faith Independence 3a Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FAITH INDEPENDENCE 3A INC

Practice address

456 Canby Cir
Ocoee, FL 34761-8903

Phone

(407) 309-0481

Fax

(407) 641-9799

NPI assigned

Sep 28, 2021

Organization subpart

No

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

Authorized official

Name

Lue Jimmie Fillicia Johnson

Title

Owner

Phone

(407) 309-0481

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1205508314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 CANBY CIR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347618903",
            "telephone_number": "407-309-0481",
            "fax_number": "407-641-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 CANBY CIR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347618903",
            "telephone_number": "407-309-0481",
            "fax_number": "407-641-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH INDEPENDENCE 3A INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LUE JIMMIE",
        "authorized_official_middle_name": "FILLICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-309-0481"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Ocoee, FL
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.