Faith Homecare Agency, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC3341 Issued in NC

Legal business name

FAITH HOMECARE AGENCY, LLC

Practice address

1628 Badin Rd
Albemarle, NC 28001-5304

Phone

(704) 983-2484

Fax

(704) 983-2485

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Carla R McIntyre

Title

Owner Director

Phone

(704) 983-2484

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750427720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 BADIN RD",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280015304",
            "telephone_number": "704-983-2484",
            "fax_number": "704-983-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 BADIN RD",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280015304",
            "telephone_number": "704-983-2484",
            "fax_number": "704-983-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HOMECARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCINTYRE",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER DIRECTOR",
        "authorized_official_telephone_number": "704-983-2484"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418091",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601457",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Albemarle, NC
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• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.