Organization Active NPI

My Faith Inc

  • In Home Supportive Care Agency
  • Memphis, TN
National Provider Identifier
1669707618
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
L000000004203 Issued in TN
Legal business name
MY FAITH INC
Practice address
2506 Mount Moriah Rd
Suite B415
Memphis, TN 38115-1511
Phone
(901) 238-4071
Fax
(901) 791-2572
NPI assigned
Oct 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
Mrs. Barbara Johnson-McKinney, LCSW
Title
Ceo
Phone
(901) 831-1231

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X L000000004203 TN Primary
Non-emergency Medical Transport (VAN) 343900000X TN

Addresses

Primary practice location

2506 Mount Moriah Rd
Suite B415
Memphis, TN 38115-1511

Mailing address

3393 Clarke Rd
Memphis, TN 38115-3522
Phone (901) 238-4071

Other identifiers 2

IdentifierTypeStateIssuer
T000448MedicaidTN
H445202MedicaidTN

National Provider Directory

National Provider Directory

Locations

2506 Mount Moriah Rd
Ste B415
Memphis, TN 38115
Phone (901) 238-4071

NPI Registry JSON

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1669707618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3393 CLARKE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381153522",
            "telephone_number": "901-238-4071",
            "fax_number": "901-791-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 MOUNT MORIAH RD",
            "address_2": "SUITE B415",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381151511",
            "telephone_number": "901-238-4071",
            "fax_number": "901-791-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY FAITH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-08",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON-MCKINNEY",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-831-1231",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "L000000004203",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T000448",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445202",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.