Healthcare Provider Details

I. General information

NPI: 1467356618
Provider Name (Legal Business Name): FAITHFUL WORKS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

945 HORNET DR STE 216
HAZELWOOD MO
63042-2309
US

IV. Provider business mailing address

945 HORNET DR 945 HORNET DR
HAZELWOOD MO
63042-2309
US

V. Phone/Fax

Practice location:
  • Phone: 314-281-0730
  • Fax:
Mailing address:
  • Phone: 314-281-0730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. ABRESHA LUCIOUS
Title or Position: OWNER
Credential:
Phone: 314-281-0730