Healthcare Provider Details
I. General information
NPI: 1033081500
Provider Name (Legal Business Name): FAITH HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/23/2025
Last Update Date: 02/07/2026
Certification Date: 02/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2215 2ND AVE E APT 102
WEST FARGO ND
58078-2371
US
IV. Provider business mailing address
2215 2ND AVE E APT 102
WEST FARGO ND
58078-2371
US
V. Phone/Fax
- Phone: 701-219-8798
- Fax:
- Phone: 701-219-8798
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FATMATA
KONIMA
SESAY
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: RN
Phone: 701-219-8798