MEDICARE: FAITHFUL HANDS HOME CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1235088295
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAITHFUL HANDS HOME CARE LLC

Provider Business Mailing Address
First Line	:	PO BOX 152
Second Line	:
City	:	LEXINGTON
State	:	MS
Zip	:	39095-0152
Country	:	US
Telephone Number	:	601-954-0674
Fax Number	:

Provider Business Practice Location Address
First Line	:	22379 DEPOT ST
Second Line	:
City	:	LEXINGTON
State	:	MS
Zip	:	39095-7343
Country	:	US
Telephone Number	:	601-954-0674
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	JANET RUSSELL
Credential	:	MSN, RN
Telephone Number	:	601-954-0674

Provider Enumeration Date	:	01/23/2026
Last Update Date	:	01/23/2026

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