Faithful Love Therapeutic Children's Home

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

FAITHFUL LOVE THERAPEUTIC CHILDREN'S HOME

Practice address

3129 Fadal Ave
Waco, TX 76708-2418

Phone

(469) 999-4126

NPI assigned

Jul 16, 2018

Last updated

Jul 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wanda Hill

Title

Director

Phone

(469) 999-4126

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1568948255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 FADAL AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767082418",
            "telephone_number": "469-999-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 FADAL AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767082418",
            "telephone_number": "469-999-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITHFUL LOVE THERAPEUTIC CHILDREN'S HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "469-999-4126"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyemart Express LLC
• Eyemart Express, LTD.
• Babatunde Francis Fagbamiye, MD
• Ryan Wesley Fairchild, M.D.
• Sheryl Ruth Fairchild, PHD
• Falcon South Plains Hospice, LP (Interim Hospice of Granbury)
• Adam Michael Falcone, M.D.
• Angela Marie Fallwell
• Fannin County Hospital Authority (Greenview Nursing and Rehabilitation)
• Fannin County Hospital Authority (Lakeshore Village Nursing and Rehabilitation.)

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Waco, TX
• Providers in Waco, TX by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.