Faith Family Health, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

FAITH FAMILY HEALTH, LLC

Practice address

1051 Stafford Dr
Princeton, WV 24740-2409

Phone

(304) 887-3530

NPI assigned

Jan 10, 2023

Organization subpart

No

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

Authorized official

Name

Mary Sue Curry, FNP

Title

Member/Admin

Phone

(304) 887-3530

Specialties & licenses 2

Addresses

Other names 1

• Faith Family Health Prompt Care Doing business as

Tax ID family

Faith Family Health LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Faith Family Health, LLC

  • Primary Care Clinic/Center
  • Princeton, WV
  • NPI 1104468842
  NPD tax ID
• Faith Family Health, LLC

  • Primary Care Clinic/Center
  • Princeton, WV
  • NPI 1568173201
  NPD tax ID

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1801500236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 MERCER ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247403111",
            "telephone_number": "304-425-2405",
            "fax_number": "304-425-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 STAFFORD DR",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402409",
            "telephone_number": "304-887-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH FAMILY HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "CURRY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "MEMBER/ADMIN",
        "authorized_official_telephone_number": "304-887-3530",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faith Family Health Prompt Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandon L Fain, PA-C
• Shawn Fain
• Susan Alexis Fain
• Faith Family Health, LLC
• Faith Family Health, LLC
• Amin Ella Faiz, MSW, LICSW, LCSW
• Families R US, LLC
• Families R US, LLC
• Families R US, LLC
• Farewell Transportation LLC

• All providers in Princeton, WV
• Primary Care Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.