Active NPI
Faithful Home Care Services, LLC
- Home Health Agency
- St Matthews, SC
National Provider Identifier
1932434172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- FAITHFUL HOME CARE SERVICES, LLC
- Practice address
- 21 Saint Matthews Rd
St Matthews, SC 29135-8400 - Phone
- (803) 655-5411
- Fax
- (803) 655-5412
- NPI assigned
- Oct 6, 2009
- Last updated
- Nov 3, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bettye Ravenell
- Title
- Director
- Phone
- (803) 655-5411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | SC | Primary |
Addresses
Primary practice location
21 Saint Matthews Rd
St Matthews, SC 29135-8400
Mailing address
21 Saint Matthews Rd
St Matthews, SC 29135-8400
Phone (803) 655-5411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EX0860 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
1705 Bridge St
St Matthews, SC 29135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604361600000",
"number": "1932434172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 SAINT MATTHEWS RD",
"city": "ST MATTHEWS",
"state": "SC",
"postal_code": "291358400",
"telephone_number": "803-655-5411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 SAINT MATTHEWS RD",
"city": "ST MATTHEWS",
"state": "SC",
"postal_code": "291358400",
"telephone_number": "803-655-5411",
"fax_number": "803-655-5412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAITHFUL HOME CARE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-06",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A",
"authorized_official_last_name": "RAVENELL",
"authorized_official_first_name": "BETTYE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "803-655-5411"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "SC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EX0860",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Matthews, SC
- Christina Walker Elmore, RD,
- Cheryl D English, MSW
- Everside Health-Zeus St. Matthews
- Every Vet Counts Psychological Care LLC
- Faithful Adult Daycare Services, LLC
- Family Health Centers, Inc (St. Matthews Medical Center Pharmacy)
- Family Health Centers, Inc. (St. Matthews Medical Center)
- Mary B Fischer, RN
- Amber Fitzpatrick, BEHAVIOR ASSISTANT
- Angela Kay Fogle, CNA, CD, CPD, CHBE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.