MEDICARE: FAITH HOME HEALTH 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	:	1235388257
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAITH HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	6845 W CHARLESTON BLVD STE B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-1647
Country	:	US
Telephone Number	:	702-474-9007
Fax Number	:

Provider Business Practice Location Address
First Line	:	6845 W CHARLESTON BLVD STE B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-1647
Country	:	US
Telephone Number	:	702-474-9007
Fax Number	:	702-474-9028

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MARJORIE CRUZ
Credential	:
Telephone Number	:	702-726-0761

Provider Enumeration Date	:	09/15/2008
Last Update Date	:	09/24/2025

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Directions to “FAITH HOME HEALTH CARE LLC ” Practice Location

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