Organization Active NPI

Faithful Sisters Caregiver Agency LLC

  • Home Health Agency
  • Medina, OH
National Provider Identifier
1679111017
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FAITHFUL SISTERS CAREGIVER AGENCY LLC
Practice address
1183 Newell LN
Medina, OH 44256-4074
Phone
(216) 375-8919
NPI assigned
Dec 17, 2019
Last updated
Dec 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Authorized official

Name
Mariana N Jarvis
Title
President
Phone
(216) 375-8919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1183 Newell LN
Medina, OH 44256-4074

Mailing address

1183 Newell LN
Medina, OH 44256-4074
Phone (216) 375-8919

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1679111017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 NEWELL LN",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442564074",
            "telephone_number": "216-375-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 NEWELL LN",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442564074",
            "telephone_number": "216-375-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITHFUL SISTERS CAREGIVER AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "JARVIS",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-375-8919"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.