MEDICARE: BY FAITH HOME 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1689954901
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BY FAITH HOME CARE SERVICES, INC

Provider Business Mailing Address
First Line	:	PO BOX 491
Second Line	:
City	:	NASHVILLE
State	:	NC
Zip	:	27856-0491
Country	:	US
Telephone Number	:	252-459-2325
Fax Number	:	252-459-2311

Provider Business Practice Location Address
First Line	:	501 WESTERN AVE
Second Line	:
City	:	NASHVILLE
State	:	NC
Zip	:	27856-1123
Country	:	US
Telephone Number	:	252-459-2325
Fax Number	:	252-459-2311

Authorized Official
Title or Position	:	OWNER
Name	:	TIFFANY L HEDGEPETH
Credential	:
Telephone Number	:	252-459-2325

Provider Enumeration Date	:	08/17/2011
Last Update Date	:	08/17/2011

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