NPIMap

Organization Active NPI

Faith Group Home Inc.

  • Home Health Agency
  • Clermont, FL
National Provider Identifier
1982171419
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FAITH GROUP HOME INC.
Practice address
4548 Powderhorn Place Dr
Clermont, FL 34711-8940
Phone
(352) 396-1247
Fax
(352) 708-6382
NPI assigned
Nov 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Authorized official

Name
Roderick Roberson
Title
Owner
Phone
(352) 396-1247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4548 Powderhorn Place Dr
Clermont, FL 34711-8940

Mailing address

4548 Powderhorn Place Dr
Clermont, FL 34711-8940
Phone (352) 396-1247

National Provider Directory

National Provider Directory
Tax ID family
Faith Group Home Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1982171419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4548 POWDERHORN PLACE DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118940",
            "telephone_number": "352-396-1247",
            "fax_number": "352-708-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4548 POWDERHORN PLACE DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118940",
            "telephone_number": "352-396-1247",
            "fax_number": "352-708-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH GROUP HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-396-1247"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.