Faith Health Services of Ga.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

FAITH HEALTH SERVICES OF GA.

Practice address

240 Prospect PL
Alpharetta, GA 30005-5454

Phone

(678) 624-1646

Fax

(770) 442-3320

NPI assigned

Dec 28, 2010

Organization subpart

No

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

Authorized official

Name

Faith Herma Vickerie, R.N.

Title

Ceo

Phone

(770) 598-8031

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1639473077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 PROSPECT PL",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055454",
            "telephone_number": "678-624-1646",
            "fax_number": "770-442-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 PROSPECT PL",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055454",
            "telephone_number": "678-624-1646",
            "fax_number": "770-442-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HEALTH SERVICES OF GA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "VICKERIE",
        "authorized_official_first_name": "FAITH",
        "authorized_official_middle_name": "HERMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-598-8031",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000696935G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "703485909A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greer Alexander Ezrine, PH.D., NCSP
• Farin Ezzati
• Deborah Fairchild
• Lois Arlou Fairfield, APRN
• Faith Health
• Faithbridge Foster Care Inc
• Faithbridge Psychological Services LLC
• Falcon Transport Ga, LLC
• Emma Evers Falcon, M.S., CCC-SLP
• Rosario Morillo Falero, PH.D.

• Case Management Agency in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Case Management Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.