Faithful Nurses Health Care, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC3578 Issued in NC

Legal business name

FAITHFUL NURSES HEALTH CARE, INC

Practice address

114.5 W. Innes Street
Suite-1
Salisbury, NC 28144-9711

Phone

(704) 598-1882

Fax

(704) 596-7366

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Bridgette Leak Williams

Title

Agency Director

Phone

(704) 441-9636

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1285786764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114.5 W. INNES STREET",
            "address_2": "SUITE-1",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281449711",
            "telephone_number": "704-598-1882",
            "fax_number": "704-596-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114.5 W. INNES STREET",
            "address_2": "SUITE-1",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281449711",
            "telephone_number": "704-598-1882",
            "fax_number": "704-596-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITHFUL NURSES HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRIDGETTE",
        "authorized_official_middle_name": "LEAK",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "704-441-9636",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418307",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601622",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.