Organization Active NPI

Good Faith Seniors Homecare

  • In Home Supportive Care Agency
  • Richmond, TX
National Provider Identifier
1306483888
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GOOD FAITH SENIORS HOMECARE
Practice address
12118 Accorso St
Richmond, TX 77406-2249
Phone
(281) 987-4427
Fax
(346) 843-1128
NPI assigned
Dec 4, 2019
Last updated
Dec 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Authorized official

Name
Cecilia Wanja WollerNPI 1801303896
Title
Alternate Administrator
Phone
(281) 987-4427

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

12118 Accorso St
Richmond, TX 77406-2249

Mailing address

12118 Accorso St
Richmond, TX 77406-2249
Phone (281) 987-4427

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1306483888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12118 ACCORSO ST",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774062249",
            "telephone_number": "281-987-4427",
            "fax_number": "346-843-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12118 ACCORSO ST",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774062249",
            "telephone_number": "281-987-4427",
            "fax_number": "346-843-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD FAITH SENIORS HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "WOLLER",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "WANJA",
        "authorized_official_title_or_position": "ALTERNATE  ADMINISTRATOR",
        "authorized_official_telephone_number": "281-987-4427"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.