NPIMap

Organization Active NPI

Faithfulnesscarellc

  • Home Health Aide
  • Miami Gardens, FL
National Provider Identifier
1871098871
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA Issued in FL
Legal business name
FAITHFULNESSCARELLC
Practice address
835 NW 168TH Ter
Miami Gardens, FL 33169-5326
Phone
(786) 356-5453
NPI assigned
Mar 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Authorized official

Name
Alecia Mandela Mallett
Title
HHA
Phone
(786) 356-5453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 374U00000X HHA FL Primary

Addresses

Primary practice location

835 NW 168TH Ter
Miami Gardens, FL 33169-5326

Mailing address

835 NW 168TH Ter
Miami Gardens, FL 33169-5326
Phone (786) 356-5453

Other names 1

  • FaithfulnesscareLLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Faithfulnesscarellc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1871098871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 NW 168TH TER",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695326",
            "telephone_number": "786-356-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 NW 168TH TER",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695326",
            "telephone_number": "786-356-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITHFULNESSCARELLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "MALLETT",
        "authorized_official_first_name": "ALECIA",
        "authorized_official_middle_name": "MANDELA",
        "authorized_official_title_or_position": "HHA",
        "authorized_official_telephone_number": "786-356-5453"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "HHA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FaithfulnesscareLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FaithfulnesscareLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.