Healthcare Provider Details

I. General information

NPI: 1588252506
Provider Name (Legal Business Name): FAITHFUL ANGELS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2021
Last Update Date: 10/25/2024
Certification Date: 10/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7851 DOLLEYS COURT
KING GEORGE VA
22485-5533
US

IV. Provider business mailing address

7851 DOLLEYS COURT
KING GEORGE VA
22485-5533
US

V. Phone/Fax

Practice location:
  • Phone: 540-220-8629
  • Fax: 540-242-9128
Mailing address:
  • Phone: 540-220-8629
  • Fax: 540-242-9128

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: ROSS ANN BUMBREY
Title or Position: OWNER
Credential: RN
Phone: 540-220-8629