Healthcare Provider Details

I. General information

NPI: 1104345164
Provider Name (Legal Business Name): FAITH HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2017
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 NE KENDALLWOOD PKWY SUITE 100
GLADSTONE MO
64119-2060
US

IV. Provider business mailing address

11827 W 112TH ST STE 100
OVERLAND PARK KS
66210-2700
US

V. Phone/Fax

Practice location:
  • Phone: 913-296-7636
  • Fax: 913-296-7638
Mailing address:
  • Phone: 913-296-7636
  • Fax: 913-296-7638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DAVID J JONES
Title or Position: CEO
Credential:
Phone: 913-296-7636