Organization Active NPI

Christian Faith Home Care

  • Home Health Agency
  • Fayetteville, NC
National Provider Identifier
1215690862
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Mar 12, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
HC6272OtherNCDIVISION OF HEALTH SERVICE REGULATION

Other names 1

  • Christian Faith Home Care Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.