Organization Active NPI

Faith Home Health, Inc

  • Home Health Agency
  • St Petersburg, FL
National Provider Identifier
1417016981
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
10D0931541 Issued in FL
Legal business name
FAITH HOME HEALTH, INC
Practice address
4554 Central Ave Ste D
St Petersburg, FL 33711-1047
Phone
(727) 322-5916
Fax
(727) 322-8827
NPI assigned
Dec 8, 2006
Last updated
Feb 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Authorized official

Name
Mrs. Celina Okpaleke
Title
Administrator
Phone
(727) 322-5916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 10D0931541 FL Primary

Addresses

Primary practice location

4554 Central Ave Ste D
St Petersburg, FL 33711-1047

Mailing address

3202 N Howard Ave
Tampa, FL 33607-1614
Phone (813) 876-5500

Other identifiers 1

IdentifierTypeStateIssuer
015529500MedicaidFL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0931541Faith Home Health Inc4554 Central Ave Ste D1, Saint Petersburg, FL 33711Certificate of waiverApr 30, 2028

National Provider Directory

National Provider Directory

Locations

4554 Central Ave
Ste D
St Petersburg, FL 33711
Phone (727) 322-5916

3202 N Howard Ave
Tampa, FL 33607
Phone (813) 876-5500

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1417016981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 N HOWARD AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071614",
            "telephone_number": "813-876-5500",
            "fax_number": "813-876-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4554 CENTRAL AVE STE D",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337111047",
            "telephone_number": "727-322-5916",
            "fax_number": "727-322-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "OKPALEKE",
        "authorized_official_first_name": "CELINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-322-5916",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "10D0931541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015529500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.