Faith Specialized Care Services Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FAITH SPECIALIZED CARE SERVICES INC.

Practice address

8245 Cordova Rd Ste 101
Cordova, TN 38016-2086

Phone

(901) 384-1394

Fax

(901) 384-1395

NPI assigned

Jan 22, 2021

Last updated

Nov 21, 2023By 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

Ms. Lydia Lee HodgeNPI 1851762819

Title

Ceo

Phone

(901) 384-1394

Specialties & licenses 2

Addresses

Locations

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.

• Lydia Hodge, CEO/PRESIDENT

  • In Home Supportive Care Agency
  • Cordova, TN
  • NPI 1851762819

  Day Training, Developmentally Disabled Services

  NPD Authorized official

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1619567724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8245 CORDOVA RD STE 101",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380162086",
            "telephone_number": "901-384-1394",
            "fax_number": "901-384-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8245 CORDOVA RD STE 101",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380162086",
            "telephone_number": "901-384-1394",
            "fax_number": "901-384-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH SPECIALIZED CARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-22",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-384-1394",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oluwatosin A Fadeyi, PHARMD/MBA
• Lisa Diane Fair, PMHNP-BC
• Fairhaven Holdings, LLC (Fairhaven Treatment Center)
• Fairhaven Treatment Center
• Faith and Hope Healthcare Transportation, LLC
• Family Dentistry, P.C.
• Family Medicine & Weight Loss MD PLLC
• Trinisha Faulcon, LPN
• Latosha S Faulkner
• Zackary Feathers

• In Home Supportive Care Agency in Cordova, TN
• Providers in Cordova, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.