Valeisha Faggins
Individual provider Active NPI Home Health Aide · Richland, GA
NPI 1972321719 · NPPES record last updated Oct 1, 2024
Key facts
- NPI
- 1972321719
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 44 Fox LN
Richland, GA 31825-5002 - Phone
- (229) 942-7430
- NPI assigned
- Oct 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide |
374U00000X | Yes |
Addresses
Primary practice location
44 Fox LN
Richland, GA 31825-5002
Mailing address
125 Ridgewood Dr
Americus, GA 31709-5844
Other providers in Richland, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.