Healthcare Provider Details

I. General information

NPI: 1992097356
Provider Name (Legal Business Name): FAITHFUL FOUNDATIONS HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2011
Last Update Date: 05/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7280 NW 87TH TER STE 210
KANSAS CITY MO
64153-3706
US

IV. Provider business mailing address

7280 NW 87TH TERRACE STE 210
KANSAS MO
64153
US

V. Phone/Fax

Practice location:
  • Phone: 816-841-7957
  • Fax: 816-841-7701
Mailing address:
  • Phone: 816-841-7957
  • Fax: 816-841-7701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number261QH0100X
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code385HR2055X
TaxonomyChild Mental Illness Respite Care
License Number385HR2055X
License Number StateMO

VIII. Authorized Official

Name: MRS. DENISE LOWE
Title or Position: PRESIDENT OWNER
Credential:
Phone: 816-841-7957