MEDICARE: FAITHFUL HOME CARE SERVICES

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	261QA0005X	Ambulatory Family Planning Facility

General Provider Information

NPI Number	:	1841436607
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAITHFUL HOME CARE SERVICES

Provider Business Mailing Address
First Line	:	16911 OAKS CROSSING LN
Second Line	:	16911
City	:	HOUSTON
State	:	TX
Zip	:	77083-6869
Country	:	US
Telephone Number	:	281-277-0147
Fax Number	:

Provider Business Practice Location Address
First Line	:	16911 OAKS CROSSING LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-6869
Country	:	US
Telephone Number	:	281-277-0147
Fax Number	:	281-277-0147

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. ANGELA AKUNNE LECLEAR
Credential	:
Telephone Number	:	281-277-0147

Provider Enumeration Date	:	12/29/2008
Last Update Date	:	12/29/2008

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