Active NPI
LLC Faith Caring Home Health Services
- Adult Care Home Facility
- Duluth, GA
National Provider Identifier
1346445707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- LLC FAITH CARING HOME HEALTH SERVICES
- Practice address
- 3617 Ridge Brook TRL
Duluth, GA 30096-6895 - Phone
- (678) 768-4797
- NPI assigned
- Jun 17, 2007
- 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
- Renee Marie Douyon
- Title
- Administrator, Chief Operator
- Phone
- (678) 768-4797
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
3617 Ridge Brook TRL
Duluth, GA 30096-6895
Mailing address
3617 Ridge Brook TRL
Duluth, GA 30096-6895
Phone (678) 768-4797
Other names 1
- faith caring home assistance
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184284800000",
"number": "1346445707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3617 RIDGE BROOK TRL",
"city": "DULUTH",
"state": "GA",
"postal_code": "300966895",
"telephone_number": "678-768-4797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3617 RIDGE BROOK TRL",
"city": "DULUTH",
"state": "GA",
"postal_code": "300966895",
"telephone_number": "678-768-4797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LLC FAITH CARING HOME HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-17",
"last_updated": "2007-07-13",
"status": "A",
"authorized_official_last_name": "DOUYON",
"authorized_official_first_name": "RENEE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "ADMINISTRATOR, CHIEF OPERATOR",
"authorized_official_telephone_number": "678-768-4797"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "faith caring home assistance",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.