Faith Residential Homes LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

FAITH RESIDENTIAL HOMES LLC

Practice address

5823 Hewitt Dr
Charlotte, NC 28269-0219

Phone

(704) 617-9859

NPI assigned

Oct 26, 2023

Organization subpart

No

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

Authorized official

Name

Hellen Alem Dessalegn

Title

Owner

Phone

(704) 617-9859

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1598537151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5414 JASLIE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282272650",
            "telephone_number": "704-617-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5823 HEWITT DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690219",
            "telephone_number": "704-617-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH RESIDENTIAL HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "DESSALEGN",
        "authorized_official_first_name": "HELLEN",
        "authorized_official_middle_name": "ALEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-617-9859"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairmont Home Care
• Fairview Psychological Services, P.a.
• Faith Hope Love Services
• Faith Medical Center P.C.
• Faith Prosthetic-Orthotic Services Inc.
• Faith Works Foundation
• Faith,Hope& Charity Community Development Inc.
• Faithful & True Global Healthcare Staffing, PLLC
• Faithful Foundation Home Care LLC
• Faithful Servant Home Care Services

• Nursing Facility/Intermediate Care Facility in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Nursing Facility/Intermediate Care Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.