Active NPI
Faith Staffing Agency Inc
- Home Health Agency
- Atlanta, GA
National Provider Identifier
1699459578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- FAITH STAFFING AGENCY INC
- Doing business as
- Faith Medical Services
- Practice address
- 1590 Phoenix Blvd Suite 100 - 260
Atlanta, GA 30349-5541 - Phone
- (770) 907-7226
- Fax
- (404) 506-9400
- NPI assigned
- Jun 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Aiyeyomi
- Title
- Ceo
- Phone
- (770) 907-7226
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1590 Phoenix Blvd Suite 100 - 260
Atlanta, GA 30349-5541
Mailing address
PO Box 960113
Riverdale, GA 30296-0113
Phone (770) 907-7226
Other names 1
- Faith Medical Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240522002928 | GA | Part A Provider - Home Health Agency | 1658716097 | Practice locations: Atlanta, GA |
Home health agency certification: CCN 117806
- Legal name
- FAITH STAFFING AGENCY INC
- Doing business as
- FAITH MEDICAL SERVICES
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 9, 2025
- Last certification
- Jul 9, 2025
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Apr 18, 2001 in GA
- Enrollment address
- 1590 Phoenix Blvd
Ste 100
Atlanta, GA 30349-5541
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Faith Medical Services
- Ownership
- Proprietary
- Certified
- Jul 9, 2025
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- Faith Agency
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Care Agency
- Atlanta, GA
- NPI 1336208495
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
1590 Phoenix Blvd
Ste 100
Atlanta, GA 30349
Phone (770) 907-7226
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Paul Aiyeyomi | 5% Or Greater Direct Ownership Interest | Apr 18, 2001 | 85% |
| Corporate Officer | Apr 18, 2001 | 50% | |
| W-2 Managing Employee | Apr 18, 2001 | 100% | |
| Gabriel Daniel & Associates | 5% Or Greater Direct Ownership Interest | Apr 18, 2001 | 15% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690156800000",
"number": "1699459578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 960113",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "302960113",
"telephone_number": "770-907-7226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1590 PHOENIX BLVD SUITE 100 - 260",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303495541",
"telephone_number": "770-907-7226",
"fax_number": "404-506-9400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAITH STAFFING AGENCY INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-12",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A",
"authorized_official_last_name": "AIYEYOMI",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "770-907-7226"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Faith Medical Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Faith Medical Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.