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NPI Code Detail

MEDICARE: FAITHFUL HEARTS LLC

MEDICARE: FAITHFUL HEARTS 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
2261QM0850XAdult Mental Health Clinic/Center
3261QM0855XAdolescent and Children Mental Health Clinic/Center
4251B00000XCase Management Agency

General Provider Information

NPI Number : 1669368056
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAITHFUL HEARTS LLC
Provider Business Mailing Address
First Line : 709 FLANDERS AVE
Second Line :
City : BROOKVILLE
State : OH
Zip : 45309-1387
Country : US
Telephone Number : 937-581-5958
Fax Number :
Provider Business Practice Location Address
First Line : 2135 N GETTYSBURG AVE
Second Line :
City : DAYTON
State : OH
Zip : 45406-3563
Country : US
Telephone Number : 937-581-5958
Fax Number :
Authorized Official
Title or Position : OWNER/ OPERATOR
Name : NONINA JEAN HINDSMAN
Credential :
Telephone Number : 937-581-5958
Provider Enumeration Date : 06/13/2025
Last Update Date : 06/13/2025

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Directions to “FAITHFUL HEARTS LLC ” Practice Location

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