Active NPI
Christian Faith Home Care
- Home Health Agency
- Fayetteville, NC
National Provider Identifier
1215690862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CHRISTIAN FAITH HOME CARE
- Practice address
- 4542 Raeford Rd Ste A1
Fayetteville, NC 28304-3203 - Phone
- (910) 777-9402
- Fax
- (910) 809-2327
- NPI assigned
- Oct 20, 2021
- 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
- Shazada Keith
- Title
- Director/Owner
- Phone
- (910) 777-9402
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X | |||
| Private Vehicle | 347C00000X |
Addresses
Primary practice location
4542 Raeford Rd Ste A1
Fayetteville, NC 28304-3203
Mailing address
PO Box 53281
Fayetteville, NC 28305-3281
Phone (910) 777-9402
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HC6272 | Other | NC | DIVISION OF HEALTH SERVICE REGULATION |
Other names 1
- Christian Faith Home Care
National Provider Directory
National Provider DirectoryLocations
4542 Raeford Rd
Ste A1
Fayetteville, NC 28304
Phone (910) 777-9402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710201600000",
"number": "1215690862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 53281",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283053281",
"telephone_number": "910-777-9402",
"fax_number": "910-809-2327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4542 RAEFORD RD STE A1",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043203",
"telephone_number": "910-777-9402",
"fax_number": "910-809-2327"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTIAN FAITH HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-20",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A",
"authorized_official_last_name": "KEITH",
"authorized_official_first_name": "SHAZADA",
"authorized_official_title_or_position": "DIRECTOR/OWNER",
"authorized_official_telephone_number": "910-777-9402"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIVISION OF HEALTH SERVICE REGULATION",
"identifier": "HC6272",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Christian Faith Home Care",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.