Faith Ann Nichols, RN
Individual provider Active NPI Home Health Agency · Yoakum, TX
NPI 1578872610 · NPPES record last updated Feb 9, 2016
Key facts
- NPI
- 1578872610
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 012245 (TX)
- Practice address
- 612 W Grand Ave
Yoakum, TX 77995-2622 - Phone
- (361) 293-5795
- Fax
- (361) 293-5798
- NPI assigned
- Oct 6, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Nov 7, 2017 | Change of Ownership |
Advanced Home Health Services |
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 012245 | TX | Yes |
Addresses
Primary practice location
612 W Grand Ave
Yoakum, TX 77995-2622
Mailing address
612 W Grand Ave
Yoakum, TX 77995-2622
Phone (361) 293-5795
Other providers in Yoakum, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.