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General NPI Number Information
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NPI Number | 1477405199
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Entity Type | Organization
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Legal Business Name | FAITH HOME HEALTHCARE, LLC
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Dates
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Enumeration Date | 02/13/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 12797 OCCOQUAN RD
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City | WOODBRIDGE
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State | VA
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Zip | 22192-2709
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Country | US
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Telephone | 571-227-0861
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Fax |
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Provider Business Mailing Address
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Address Line | 12797 OCCOQUAN RD
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City | WOODBRIDGE
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State | VA
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Zip | 22192-2709
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Country | US
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Telephone | 571-227-0861
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Fax |
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Authorized Official
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Title or Position | ALTERNATE ADMINISTRATOR
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Name | MADINA SAFARI
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Credential |
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Telephone | 571-227-0638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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