Healthcare Provider Details

I. General information

NPI: 1548983190
Provider Name (Legal Business Name): FAITHFUL LOVING & CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2022
Last Update Date: 09/20/2022
Certification Date: 09/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4864 LAKE RIDGE RD
ORLANDO FL
32808-2070
US

IV. Provider business mailing address

4864 LAKE RIDGE RD
ORLANDO FL
32808-2070
US

V. Phone/Fax

Practice location:
  • Phone: 321-758-2729
  • Fax:
Mailing address:
  • Phone: 321-758-2729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: NAISHA A REMEKIE
Title or Position: CEO
Credential:
Phone: 321-758-2729