MEDICARE: FAITHFUL HANDS CORPORATION

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	253Z00000X	In Home Supportive Care Agency
3	310400000X	Assisted Living Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447687660
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAITHFUL HANDS CORPORATION

Provider Business Mailing Address
First Line	:	45750 ARAGON LN
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48187-6639
Country	:	US
Telephone Number	:	313-740-6731
Fax Number	:	734-629-8652

Provider Business Practice Location Address
First Line	:	10874 KOLB AVE
Second Line	:
City	:	ALLEN PARK
State	:	MI
Zip	:	48101-1182
Country	:	US
Telephone Number	:	313-740-6731
Fax Number	:	734-661-5008

Authorized Official
Title or Position	:	EXEC. DIRECTOR
Name	:	EDDIE NORTHINGTON
Credential	:
Telephone Number	:	800-749-5149

Provider Enumeration Date	:	10/02/2013
Last Update Date	:	02/27/2025

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Directions to “FAITHFUL HANDS CORPORATION ” Practice Location

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