Healthcare Provider Details

I. General information

NPI: 1558034553
Provider Name (Legal Business Name): FAITH IN CARE HEALTH SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2021
Last Update Date: 08/04/2022
Certification Date: 08/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 PRESIDENT GEORGE BUSH HWY APT 4003
ROWLETT TX
75088-1836
US

IV. Provider business mailing address

1600 PRESIDENT GEORGE BUSH HWY APT 4003
ROWLETT TX
75088-1836
US

V. Phone/Fax

Practice location:
  • Phone: 972-765-6352
  • Fax:
Mailing address:
  • Phone: 972-765-6352
  • Fax: 866-372-2505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: XAVIER KNOX
Title or Position: OWNER
Credential:
Phone: 695-774-0684