Organization Active NPI

Faith's Shining Light Home Health Care, PLLC

  • Home Health Agency
  • Round Rock, TX
National Provider Identifier
1508500497
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FAITH'S SHINING LIGHT HOME HEALTH CARE, PLLC
Practice address
3300 Luminoso LN E
Round Rock, TX 78681-2336
Phone
(512) 517-0426
NPI assigned
Apr 26, 2022
Last updated
Apr 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Authorized official

Name
Susan Dametz, RNNPI 1902464563
Title
Owner/President
Phone
(512) 517-0426

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Home Infusion Agency 251F00000X NU

Addresses

Primary practice location

3300 Luminoso LN E
Round Rock, TX 78681-2336

Mailing address

3300 Luminoso LN E
Round Rock, TX 78681-2336
Phone (512) 517-0426

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": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1508500497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 LUMINOSO LN E",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786812336",
            "telephone_number": "512-517-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 LUMINOSO LN E",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786812336",
            "telephone_number": "512-517-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH'S SHINING LIGHT HOME HEALTH CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "DAMETZ",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "512-517-0426",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.