Faith Foundation Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

FAITH FOUNDATION HOSPICE

Practice address

3503 Parliament CT
Alexandria, LA 71303-3135

Phone

(318) 443-5545

Fax

(318) 561-6534

NPI assigned

Nov 4, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Pam Brossett, RN

Title

Administrator/Owner

Phone

(318) 443-5545

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Hospice certification: CCN 191547

Legal name

FAITH FOUNDATION HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 19, 1996

Last certification

Jul 22, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Feb 14, 2002 in LA

Enrollment address

3503 Parliament CT
Alexandria, LA 71303-3135

Listed as

Faith Foundation Hospice, IncCCN 191547 · All quality measures

Ownership

For-Profit

Certified

Sep 19, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Roberto Jose Garcia, M.D.

  • Internal Medicine Physician
  • Alexandria, LA
  • NPI 1780627000

  Corporate Director

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roberto Jose Garcia, M.D.

  • Internal Medicine Physician
  • Alexandria, LA
  • NPI 1780627000
  NPD
• Frances Luanne Trahant, NP

  • Family Nurse Practitioner
  • Alexandria, LA
  • NPI 1679874598
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Roberto Jose Garcia, M.D.

  • Internal Medicine Physician
  • Alexandria, LA
  • NPI 1780627000

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215928551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11757",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713151757",
            "telephone_number": "318-443-5545",
            "fax_number": "318-564-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3503 PARLIAMENT CT",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033135",
            "telephone_number": "318-443-5545",
            "fax_number": "318-561-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH FOUNDATION HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROSSETT",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "318-443-5545",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1580635",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA LICENSE",
            "identifier": "105",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly B. Faircloth, D.C.
• Fairway Counseling Agency, Inc.
• Fairway Counseling, Inc
• Fairway Counseling, LLC
• Faith and Hope of Alexandria
• Families in Connection
• Families in Connection Mins, Inc
• Families in Connection Mins, Inc
• Families in Connection Mins, Inc
• Family Counseling Agency

• Community Based Hospice Care Agency in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Community Based Hospice Care Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.