Faith Health Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FAITH HEALTH SERVICES

Practice address

2100 18TH Ave Ste 230
Rock Island, IL 61201-3668

Phone

(404) 917-4346

NPI assigned

Jul 7, 2020

Organization subpart

No

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

Authorized official

Name

Blossom C Vang

Title

Adminstrator

Phone

(404) 917-4346

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1457979452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "879 CARRIAGE RUN CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300462414",
            "telephone_number": "404-917-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 18TH AVE STE 230",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612013668",
            "telephone_number": "404-917-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "VANG",
        "authorized_official_first_name": "BLOSSOM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "404-917-4346"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Rock Island, IL
• Providers in Rock Island, IL by specialty
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.