Faith Entrusted LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FAITH ENTRUSTED LLC

Practice address

4723 Smokey Quartz LN
Arlington, TX 76005-1346

Phone

(817) 487-7378

Fax

(817) 549-7327

NPI assigned

Apr 21, 2022

Organization subpart

No

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

Authorized official

Name

Shavonda Ficklin, RN

Title

Owner

Phone

(817) 487-7378

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1912641473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4723 SMOKEY QUARTZ LN",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760051346",
            "telephone_number": "817-487-7378",
            "fax_number": "817-549-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4723 SMOKEY QUARTZ LN",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760051346",
            "telephone_number": "817-487-7378",
            "fax_number": "817-549-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH ENTRUSTED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "FICKLIN",
        "authorized_official_first_name": "SHAVONDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-487-7378",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fadi Hamam DMD PA
• Halim Fadil, M.D.
• Michelle Bamidele Fagbeyiro, PTA
• Samer Fahoum, MD FCCP
• Susan Dawn Fain, PT
• Faith Home Health Plus Inc.
• Faith Hospice LLC
• Nazanin Fakharzadeh, DO
• Folake Victoria Falaki, MD
• Kenneth J Fallin, M.S.S.W

• Home Health Agency in Arlington, TX
• Providers in Arlington, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.