Go-Faith Medical Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

010596 Issued in TX

Legal business name

GO-FAITH MEDICAL SERVICES, INC

Practice address

12315 W Bellfort St
Stafford, TX 77477-1312

Phone

(713) 774-9003

Fax

(713) 774-9000

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Patrick O Ivbievbiokun

Title

Administrator

Phone

(713) 774-9003

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Faith Medical Services Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 673163

Legal name

GO-FAITH MEDICAL SERVICES, INC

Doing business as

FAITH MEDICAL SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 2, 2005

Last certification

Aug 12, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Aug 5, 2005 in TX

Enrollment address

12315 W Bellfort St
Stafford, TX 77477-1312

Listed as

Faith Medical ServicesCCN 673163

Overall star rating

3.5 of 5

Ownership

Proprietary

Certified

Mar 2, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1629029244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12315 W BELLFORT ST",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774771312",
            "telephone_number": "713-774-9003",
            "fax_number": "713-774-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12315 W BELLFORT ST",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774771312",
            "telephone_number": "713-774-9003",
            "fax_number": "713-774-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO-FAITH MEDICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "IVBIEVBIOKUN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-774-9003"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "673163",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faith Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Stafford, TX
• Providers in Stafford, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.