Family and Faith Home Care, LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

FAMILY AND FAITH HOME CARE, LLC

Practice address

130 E Washington Ave Ste 4
Athens, TN 37303-3668

Phone

(423) 453-2200

Fax

(423) 453-2223

NPI assigned

May 16, 2019

Last updated

Dec 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

Mickey Croft

Title

Support/It/Accounting/HR

Phone

(423) 453-2200

Specialties & licenses 3

Addresses

Other identifiers 3

Electronic endpoints 2

Locations

Practitioners 1

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.

• Chastity Donielle Croft, CNA

  • In Home Supportive Care Agency
  • Athens, TN
  • NPI 1386106664
  NPD

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1811553779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E WASHINGTON AVE STE 4",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033668",
            "telephone_number": "423-453-2200",
            "fax_number": "423-453-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E WASHINGTON AVE STE 4",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033668",
            "telephone_number": "423-453-2200",
            "fax_number": "423-453-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AND FAITH HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-16",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "CROFT",
        "authorized_official_first_name": "MICKEY",
        "authorized_official_title_or_position": "SUPPORT/IT/ACCOUNTING/HR",
        "authorized_official_telephone_number": "423-453-2200"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q048565",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL SUPPORT AGENCY",
            "identifier": "L000000024212",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1386106664",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://familyandfaithhc.com",
            "affiliation": "N",
            "endpointDescription": "Agency Web Page",
            "address_1": "130 E Washington Ave Ste 4",
            "city": "Athens",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373033668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mickey@familyandfaithhc.com",
            "affiliation": "N",
            "endpointDescription": "Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct commentary, Business Documents, Billing",
            "address_1": "130 E Washington Ave Ste 4",
            "city": "Athens",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373033668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Respite Care in Athens, TN
• Providers in Athens, TN by specialty
• Respite Care in Tennessee

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