Faith Urgent Care PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

FAITH URGENT CARE PLLC

Practice address

15645 Farmington Rd Ste B
Livonia, MI 48154-2851

Phone

(734) 464-7600

Fax

(734) 464-9797

NPI assigned

Sep 15, 2022

Last updated

Sep 15, 2022By 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

Dr. Laith Jacob, MD, MBCHBNPI 1083064000

Title

Owner

Phone

(248) 245-6533

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laith J Jacob, MD, MBCHB

  • Internal Medicine Physician
  • Livonia, MI
  • NPI 1083064000
  Medicare reassignment NPD Authorized official
• Lauren Hado, FNP-BC

  • Nurse Practitioner
  • Southfield, MI
  • NPI 1053142505
  Medicare reassignment NPD
• Kimberly Ann Ison

  • Family Nurse Practitioner
  • Dearborn, MI
  • NPI 1215654710
  Medicare reassignment NPD

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1790407716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15645 FARMINGTON RD STE B",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542851",
            "telephone_number": "734-464-7600",
            "fax_number": "734-464-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15645 FARMINGTON RD STE B",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542851",
            "telephone_number": "734-464-7600",
            "fax_number": "734-464-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "LAITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-245-6533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MBCHB"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4301109743",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Fahoome
• Christine Jiang Failla
• Victoria Lynn Fairley-Green, COTAL
• Faith Internal Medicine PLLC
• Faith Pharmacy LLC (Faith Pharmacy)
• Tamkeen Faiyaz
• Carlette Falconer
• Joshua Sean Faley, DPM
• Amir-Kianoosh M Fallahi, MD
• Marisa Fallone, DO

• Urgent Care Clinic/Center in Livonia, MI
• Providers in Livonia, MI by specialty
• Urgent Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.