NPIMap

Organization Active NPI

Faith Independence LLC

  • Home Health Agency
  • Ocoee, FL
National Provider Identifier
1669828810
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FAITH INDEPENDENCE LLC
Practice address
456 Canby Cir
Ocoee, FL 34761-8903
Phone
(407) 309-0481
NPI assigned
May 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Authorized official

Name
Lue Jimmie Fillicia Johnson
Title
Owner
Phone
(321) 278-5824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

456 Canby Cir
Ocoee, FL 34761-8903

Mailing address

PO Box 1533
Windermere, FL 34786-1533
Phone (321) 278-5824

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1669828810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1533",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347861533",
            "telephone_number": "321-278-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 CANBY CIR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347618903",
            "telephone_number": "407-309-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH INDEPENDENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-06",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LUE JIMMIE",
        "authorized_official_middle_name": "FILLICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-278-5824"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.