MEDICARE: WALKER OF FAITH FAMILY CARE HOME 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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1851255095
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALKER OF FAITH FAMILY CARE HOME INC

Provider Business Mailing Address
First Line	:	511 SWEETBAY PKWY
Second Line	:
City	:	HAMILTON
State	:	GA
Zip	:	31811-7618
Country	:	US
Telephone Number	:	678-431-4906
Fax Number	:

Provider Business Practice Location Address
First Line	:	6736 MITCHELL DR
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31907-3759
Country	:	US
Telephone Number	:	706-223-0918
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	MRS. SAMANTHA L WALKER
Credential	:
Telephone Number	:	706-223-0918

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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