Healthcare Provider Details

I. General information

NPI: 1003453598
Provider Name (Legal Business Name): NURSE FAITH HEALTH CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2019
Last Update Date: 01/15/2026
Certification Date: 01/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12975 HIGHLAND RD UNIT 324
HIGHLAND MD
20777-7513
US

IV. Provider business mailing address

12975 HIGHLAND RD UNIT 324
HIGHLAND MD
20777-7513
US

V. Phone/Fax

Practice location:
  • Phone: 443-272-4700
  • Fax: 443-272-4680
Mailing address:
  • Phone: 443-272-4700
  • Fax: 443-272-4680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code364SH0200X
TaxonomyHome Health Clinical Nurse Specialist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: FAITH ITOHAN OMOREGIE
Title or Position: CLINICAL MANAGER/ADMINISTRATOR
Credential: BSN, RN.
Phone: 443-878-6245