Healthcare Provider Details

I. General information

NPI: 1093577413
Provider Name (Legal Business Name): FAITHFUL HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2024
Last Update Date: 01/30/2024
Certification Date: 01/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 CRAMER LN
POINT MARION PA
15474-2302
US

IV. Provider business mailing address

1020 CRAMER LN
POINT MARION PA
15474-2302
US

V. Phone/Fax

Practice location:
  • Phone: 724-557-5670
  • Fax:
Mailing address:
  • Phone: 724-557-5670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: CHARLENE FENTON
Title or Position: OWNER
Credential:
Phone: 725-557-5670