Faith Home Care Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

7821 Issued in OK

Legal business name

FAITH HOME CARE SERVICES LLC

Doing business as

Faith Home Care Services, LLC

Practice address

2530-H East 71St Street
Tulsa, OK 74136

Phone

(918) 621-4454

Fax

(918) 622-9117

NPI assigned

Jul 6, 2006

Last updated

Mar 4, 2020By 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

Krystal ShephardNPI 1912365685

Title

Administrator

Phone

(405) 623-0955

Specialties & licenses 2

Addresses

Other names 1

• Faith Home Care Services, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841222585. Details of each certification follow.

• CCN 377708 Home health agency · Active · Details

Home health agency certification: CCN 377708

Legal name

FAITH HOME CARE SERVICES, LLC

Doing business as

FAITH HOME CARE SERVICES LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 16, 2007

Last certification

Dec 13, 2018

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Enrollment address

2530 E 71St St
Ste H
Tulsa, OK 74136-5577

Listed as

Faith Home Care Services, L.L.C.CCN 377708 · All quality measures

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Apr 16, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

Tax ID family

Faith Home Care Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Faith Home Care Services, LLC

  dba Image Home Care

  • Home Health Agency
  • Tulsa, OK
  • NPI 1801030291
  NPD tax ID

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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.

• Krystal Shephard

  • Home Health Agency
  • NPI 1912365685
  NPD Authorized official

Affiliated clinicians 17

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Goldameir Akingbola, DO

  • Family Medicine Physician
  • Sapulpa, OK
  • NPI 1033592548

  Home health agency

  Care Compare affiliation
• Sarah Andrews, D.O.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1912228149

  Home health agency

  Care Compare affiliation
• Christopher Yan-CHI Chow, MD

  • Family Medicine Physician
  • Broken Arrow, OK
  • NPI 1538111976

  Home health agency

  Care Compare affiliation
• Brian Coder, D.O.

  • Family Medicine Physician
  • Broken Arrow, OK
  • NPI 1427164888

  Home health agency

  Care Compare affiliation
• Lawrence Scott Cook, D.O.

  • Family Medicine Physician
  • Broken Arrow, OK
  • NPI 1992904239

  Home health agency

  Care Compare affiliation
• George Edward Freeman, D.O.

  • Internal Medicine Physician
  • Idabel, OK
  • NPI 1417957259

  Home health agency

  Care Compare affiliation
• Adam Benjamin Greer, DO

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1184001133

  Home health agency

  Care Compare affiliation
• Michael Hiebert, D.O.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1083154215

  Home health agency

  Care Compare affiliation
• Ashley A Hildebrand, M.D.

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1770803660

  Home health agency

  Care Compare affiliation
• William Matthew James, MD

  • Internal Medicine Physician
  • Sand Springs, OK
  • NPI 1275591547

  Home health agency

  Care Compare affiliation
• Ashlei Jobe

  • Adult Health Nurse Practitioner
  • Idabel, OK
  • NPI 1679013676

  Home health agency

  Care Compare affiliation
• Brian Henry Lewis, DO

  • Family Medicine Physician
  • Jenks, OK
  • NPI 1588748339

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1841222585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 A-EAST 71ST STREET",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74136",
            "telephone_number": "918-621-4454",
            "fax_number": "918-622-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530-H EAST 71ST STREET",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74136",
            "telephone_number": "918-621-4454",
            "fax_number": "918-622-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "SHEPHARD",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "405-623-0955"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7821",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faith Home Care Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie Ruth Fahringer
• Skyler Fair
• Makenzie Shae Fairchild
• Crystal L Fairfield
• Faith Health Center, LLC
• Faith Home Care Services, LLC (Image Home Care)
• Faith Mission Igc Inc (Faith Mission IGC Medical Clinic)
• Faith SLP, Inc. (Faith Therapy Clinic)
• Amanda Morgan Faith, BA CM A
• Omar Fakhr

• Home Health Agency in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Home Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.