Faithful Seniorcare

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

FAITHFUL SENIORCARE

Practice address

3670 Western Ave
Connersville, IN 47331-3428

Phone

(317) 250-5366

NPI assigned

May 27, 2021

Last updated

May 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dawn Michelle Chasteen

Title

Executive Director

Phone

(317) 250-5366

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1760058119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473310095",
            "telephone_number": "317-250-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 WESTERN AVE",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473313428",
            "telephone_number": "317-250-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITHFUL SENIORCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "CHASTEEN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "317-250-5366"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "faithfulseniorcare21@gmail.com",
            "affiliation": "N",
            "address_1": "3670 Western Ave",
            "city": "Connersville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473313428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Haelynn Ervine
• Ess of Connersville, LLC
• Everton Volunteer Fire Department Incorporated
• Eye Center Group LLC (Connersville Eye Center)
• Eye Center Group, LLC (Connersville Eye Center)
• Family Health Services, Inc.
• Caitlin Fattore
• Fayette BHC LLC
• Fayette BHC LLC
• Fayette Co Physician Organization Dba Family Practice WVMC

• Alzheimer Center (Dementia Center) in Connersville, IN
• Providers in Connersville, IN by specialty
• Alzheimer Center (Dementia Center) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.