Healthcare Provider Details

I. General information

NPI: 1942148663
Provider Name (Legal Business Name): GOOD FAITH HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6234 STOCKTON TRAIL WAY
COLUMBUS OH
43213-4464
US

IV. Provider business mailing address

6234 STOCKTON TRAIL WAY
COLUMBUS OH
43213-4464
US

V. Phone/Fax

Practice location:
  • Phone: 518-334-1397
  • Fax: 518-334-1397
Mailing address:
  • Phone: 518-334-1397
  • Fax: 518-334-1397

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: MR. PREM P SIWAKOTI
Title or Position: OWNER
Credential:
Phone: 518-334-1397