Faithful Shephard's Home Care , LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FAITHFUL SHEPHARD'S HOME CARE , LLC

Practice address

1390 Walkup Ave
Suite G
Monroe, NC 28110

Phone

(704) 296-2545

NPI assigned

Nov 2, 2010

Last updated

Dec 3, 2010By 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

Marie B Lee

Title

Founder

Phone

(704) 884-5694

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1760782023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 E SECOND AVE",
            "address_2": "SUITE 3",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "28054",
            "telephone_number": "704-884-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 WALKUP AVE",
            "address_2": "SUITE G",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "28110",
            "telephone_number": "704-296-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITHFUL SHEPHARD'S HOME CARE , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "704-884-5694"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.