Healthcare Provider Details

I. General information

NPI: 1396682837
Provider Name (Legal Business Name): FAITHFUL CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16304 FRIEND AVE
MAPLE HEIGHTS OH
44137-2846
US

IV. Provider business mailing address

16304 FRIEND AVE
MAPLE HEIGHTS OH
44137-2846
US

V. Phone/Fax

Practice location:
  • Phone: 440-610-4494
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SHUNTAY HOLLOWELL
Title or Position: PRINCIPAL
Credential:
Phone: 440-610-4494