Healthcare Provider Details

I. General information

NPI: 1518750967
Provider Name (Legal Business Name): FAITH HOME HELP SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2025
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3743 NEW BOSTON DR
STERLING HEIGHTS MI
48314-2809
US

IV. Provider business mailing address

3743 NEW BOSTON DR
STERLING HEIGHTS MI
48314-2809
US

V. Phone/Fax

Practice location:
  • Phone: 586-738-8826
  • Fax:
Mailing address:
  • Phone: 586-738-8826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SAM MANSOUR
Title or Position: SOLE MBR
Credential:
Phone: 586-738-8826