MEDICARE: FAITH HOME CARE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1811657901
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAITH HOME CARE, INC

Provider Business Mailing Address
First Line	:	200 E INTERSTATE 2 STE O
Second Line	:
City	:	PHARR
State	:	TX
Zip	:	78577-6506
Country	:	US
Telephone Number	:	956-258-5558
Fax Number	:	956-258-5508

Provider Business Practice Location Address
First Line	:	200 E INTERSTATE 2 STE O
Second Line	:
City	:	PHARR
State	:	TX
Zip	:	78577-6506
Country	:	US
Telephone Number	:	956-258-5558
Fax Number	:	956-258-5508

Authorized Official
Title or Position	:	OWNER
Name	:	BLANCA E VILLARREAL
Credential	:
Telephone Number	:	956-475-2430

Provider Enumeration Date	:	12/30/2021
Last Update Date	:	12/30/2021

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Directions to “FAITH HOME CARE, INC ” Practice Location

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