Organization Active NPI

Faith in Home PLLC

  • Adult Medicine Physician
  • Inverness, FL
National Provider Identifier
1912538646
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
FAITH IN HOME PLLC
Practice address
2401 Forest Dr
Inverness, FL 34453-3720
Phone
(352) 344-3777
Fax
(352) 344-2546
NPI assigned
Jan 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Authorized official

Name
Joshua Summers, MDNPI 1619954328
Title
Ambr
Phone
(352) 344-3777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

2401 Forest Dr
Inverness, FL 34453-3720

Mailing address

2401 Forest Dr
Inverness, FL 34453-3720
Phone (352) 344-3777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200330001799 FL Part B Supplier - Clinic/Group Practice 9638508419 Receives reassigned benefits from 4 practitioners
Practice locations: Inverness, FL

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1912538646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 FOREST DR",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344533720",
            "telephone_number": "352-344-3777",
            "fax_number": "352-344-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 FOREST DR",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344533720",
            "telephone_number": "352-344-3777",
            "fax_number": "352-344-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH IN HOME PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "352-344-3777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.