Organization Active NPI

Faith Health Care Services Inc

  • Home Health Agency
  • Brooklyn Park, MN
National Provider Identifier
1457451841
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
332135 Issued in MN
Legal business name
FAITH HEALTH CARE SERVICES INC
Practice address
9300 75TH Ave N
Brooklyn Park, MN 55428-1032
Phone
(763) 424-4763
Fax
(763) 569-6993
NPI assigned
Sep 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Connell Fitzgerald Lewis Sr.
Title
President
Phone
(763) 424-4763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 332135 MN Primary

Addresses

Primary practice location

9300 75TH Ave N
Brooklyn Park, MN 55428-1032

Mailing address

9300 75TH Ave N
Brooklyn Park, MN 55428-1032
Phone (763) 424-4763

National Provider Directory

National Provider Directory

Locations

9300 75th Ave N
Brooklyn Park, MN 55428
Phone (763) 424-4763

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457451841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 75TH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554281032",
            "telephone_number": "763-424-4763",
            "fax_number": "763-569-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 75TH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554281032",
            "telephone_number": "763-424-4763",
            "fax_number": "763-569-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HEALTH CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "CONNELL",
        "authorized_official_middle_name": "FITZGERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-424-4763",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "332135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.