NPIMap

Organization Active NPI

Faith Health

  • Home Health Agency
  • Alpharetta, GA
National Provider Identifier
1750685194
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
060-R-0093 Issued in GA
Legal business name
FAITH HEALTH
Practice address
240 Prospect PL
Alpharetta, GA 30005-5454
Phone
(678) 624-1646
Fax
(770) 521-9026
NPI assigned
Dec 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Authorized official

Name
Faith Herma Vickerie, R.N.
Title
Ceo
Phone
(678) 624-1646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 060-R-0093 GA Primary

Addresses

Primary practice location

240 Prospect PL
Alpharetta, GA 30005-5454

Mailing address

240 Prospect PL
Alpharetta, GA 30005-5454
Phone (678) 624-1646

Other identifiers 3

IdentifierTypeStateIssuer
000696935CMedicaidGA
000696935HMedicaidGA
000696935AMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
CPS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1750685194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 PROSPECT PL",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055454",
            "telephone_number": "678-624-1646",
            "fax_number": "770-521-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 PROSPECT PL",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055454",
            "telephone_number": "678-624-1646",
            "fax_number": "770-521-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "VICKERIE",
        "authorized_official_first_name": "FAITH",
        "authorized_official_middle_name": "HERMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-624-1646",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "060-R-0093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000696935C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000696935H",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000696935A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.