Healthcare Provider Details

I. General information

NPI: 1104742279
Provider Name (Legal Business Name): FAITHFUL HOMES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 NORAN CIR
BEDFORD OH
44146-2619
US

IV. Provider business mailing address

5706 TURNEY RD STE 202 #1111
GARFIELD HEIGHTS OH
44125
US

V. Phone/Fax

Practice location:
  • Phone: 216-965-4864
  • Fax:
Mailing address:
  • Phone: 216-965-4864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY MILLER
Title or Position: GENERAL MANAGER
Credential:
Phone: 216-965-4864