Healthcare Provider Details

I. General information

NPI: 1700799418
Provider Name (Legal Business Name): FAITH FOUNDATION HHC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1122 LADY ST OFC 322
COLUMBIA SC
29201-3495
US

IV. Provider business mailing address

1122 LADY ST OFC 322
COLUMBIA SC
29201-3495
US

V. Phone/Fax

Practice location:
  • Phone: 803-272-1050
  • Fax:
Mailing address:
  • Phone: 803-272-1050
  • 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: KEENA SMITH-STEWART
Title or Position: HOME HEALTH AID
Credential:
Phone: 803-272-1050