Healthcare Provider Details

I. General information

NPI: 1922811355
Provider Name (Legal Business Name): FAITH AND DREAM HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2025
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9321 E DAFFODIL LN
MIRAMAR FL
33025-2662
US

IV. Provider business mailing address

9321 E DAFFODIL LN
MIRAMAR FL
33025-2662
US

V. Phone/Fax

Practice location:
  • Phone: 754-209-8071
  • Fax:
Mailing address:
  • Phone: 754-209-8071
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ARISE C GUERRIER-AUGUSTIN
Title or Position: ONWER
Credential:
Phone: 754-209-8071