Healthcare Provider Details

I. General information

NPI: 1386550937
Provider Name (Legal Business Name): KIRKLAND FAITH CARE MINISTRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3674 DEANS BRIDGE RD APT 3
HEPHZIBAH GA
30815-4114
US

IV. Provider business mailing address

3674 DEANS BRIDGE RD APT 3
HEPHZIBAH GA
30815-4114
US

V. Phone/Fax

Practice location:
  • Phone: 706-360-6171
  • Fax:
Mailing address:
  • Phone: 706-360-6171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JAMES KIRKLAND
Title or Position: OWNER
Credential: CNA
Phone: 706-360-6171