Abundant Faith Home Care
Organization Active NPI Home Health Agency · Memphis, TN
NPI 1669149233 · NPPES record last updated Aug 23, 2021
Key facts
- NPI
- 1669149233
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- ABUNDANT FAITH HOME CARE
- Practice address
- 3280 Carnes Ave
Memphis, TN 38111-4208 - Phone
- (901) 304-8355
- NPI assigned
- Aug 23, 2021
- Organization subpart
- No
Authorized official
- Name
- Ellen Brown
- Title
- Owner
- Phone
- (901) 304-8355
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
3280 Carnes Ave
Memphis, TN 38111-4208
Mailing address
1461 Kirby Pkwy
Memphis, TN 38120-3454
Phone (901) 304-8355
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q035862 | Medicaid | TN |
Other names
- Abundant Faith Home Care
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.