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NPI 1164378352

NPI 1164378352 : FAITHFULNESSCARE LLC NON-MEDICAL TRANSPORTATION : HIALEAH, FL

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General NPI Number Information
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    NPI Number           |    1164378352
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    Entity Type          |    Organization 
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    Legal Business Name  |    FAITHFULNESSCARE LLC NON-MEDICAL TRANSPORTATION 
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Dates
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    Enumeration Date     |    03/09/2026
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    Last Update Date     |    03/09/2026
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Provider Practice Location Address
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    Address Line         |    2100 W 76TH ST STE 309 
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    City                 |    HIALEAH
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    State                |    FL
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    Zip                  |    33016-5500
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    Country              |    US
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    Telephone            |    786-536-2945
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    Fax                  |    954-708-1281
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Provider Business Mailing Address
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    Address Line         |    2100 W 76TH ST STE 309 
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    City                 |    HIALEAH
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    State                |    FL
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    Zip                  |    33016-5500
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    Country              |    US
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    Telephone            |    786-536-2945
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    Fax                  |    954-708-1281
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ALECIA MANDELA MALLETT 
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    Credential           |    MALLETT
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    Telephone            |    786-536-2945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    343900000X
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    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
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    License Number       |    
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    License Number State |    
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