MEDICARE: FAITHFULNESS 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1558115030
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAITHFULNESS CARE LLC

Provider Business Mailing Address
First Line	:	835 NW 168TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33169-5326
Country	:	US
Telephone Number	:	754-226-3788
Fax Number	:	954-708-1287

Provider Business Practice Location Address
First Line	:	2100 W 76TH ST STE 309
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-5500
Country	:	US
Telephone Number	:	754-226-3788
Fax Number	:	954-708-1281

Authorized Official
Title or Position	:	OWNER
Name	:	ALECIA MANDELA MALLETT
Credential	:
Telephone Number	:	786-356-5453

Provider Enumeration Date	:	04/12/2024
Last Update Date	:	02/18/2026

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Directions to “FAITHFULNESS CARE LLC ” Practice Location

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