Healthcare Provider Details

I. General information

NPI: 1558115030
Provider Name (Legal Business Name): FAITHFULNESS CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2024
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 W 76TH ST STE 309
HIALEAH FL
33016-5500
US

IV. Provider business mailing address

835 NW 168TH TER
MIAMI FL
33169-5326
US

V. Phone/Fax

Practice location:
  • Phone: 754-226-3788
  • Fax: 954-708-1281
Mailing address:
  • Phone: 754-226-3788
  • Fax: 954-708-1287

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ALECIA MANDELA MALLETT
Title or Position: OWNER
Credential:
Phone: 786-356-5453