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NPI Code Detail

MEDICARE: A FAITHFUL COMPANION PERSONAL CARE SERVICES INC.

MEDICARE: A FAITHFUL COMPANION PERSONAL CARE SERVICES INC.
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
1163WH0200XHome Health Registered Nurse
2363LF0000XFamily Nurse Practitioner
3253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1639651912
Entity Type Code : Organization
Provider Name (Legal Business Name) : A FAITHFUL COMPANION PERSONAL CARE SERVICES INC.
Provider Business Mailing Address
First Line : 1127 WOODBINE RD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33417-5722
Country : US
Telephone Number : 561-735-2497
Fax Number :
Provider Business Practice Location Address
First Line : 321 NORTHLAKE BLVD
Second Line : SUITE 210-D
City : RIVIERA BEACH
State : FL
Zip : 33404-1958
Country : US
Telephone Number : 561-846-2078
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SABINA THOMAS
Credential : APRN
Telephone Number : 561-846-2078
Provider Enumeration Date : 09/03/2018
Last Update Date : 05/06/2025

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