Healthcare Provider Details

I. General information

NPI: 1265298806
Provider Name (Legal Business Name): NFAITH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2024
Last Update Date: 07/16/2024
Certification Date: 07/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5935 HOPKINS RD STE 204
NORTH CHESTERFIELD VA
23234-5436
US

IV. Provider business mailing address

5935 HOPKINS RD STE 204
NORTH CHESTERFIELD VA
23234-5436
US

V. Phone/Fax

Practice location:
  • Phone: 804-420-7397
  • Fax: 804-340-6969
Mailing address:
  • Phone: 804-477-7851
  • Fax: 804-340-6969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SABRINA BRANCH GRIFFIN
Title or Position: CEO/OWNER
Credential: RN
Phone: 804-477-7851