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General NPI Number Information
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NPI Number | 1558873067
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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 | 10/25/2017
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 383 US HIGHWAY 46 STE 301
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City | FAIRFIELD
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State | NJ
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Zip | 07004-2473
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Country | US
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Telephone | 973-244-2480
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Fax | 973-629-1672
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Provider Business Mailing Address
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Address Line | 383 US HIGHWAY 46 STE 301
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City | FAIRFIELD
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State | NJ
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Zip | 07004-2473
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Country | US
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Telephone | 973-244-2480
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Fax | 973-629-1672
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Authorized Official
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Title or Position | PRESIDENT
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Name | GEETAKUMARI B FOFANDI
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Credential |
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Telephone | 973-244-2480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HP0257600
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License Number State | NJ
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