Organization Active NPI

Faithful Home Care Services, LLC

  • Home Health Agency
  • St Matthews, SC
National Provider Identifier
1932434172
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
EX0860MedicaidSC

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.