MEDICARE: FAITH CITY WELLCARE

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1942161211
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAITH CITY WELLCARE

Provider Business Mailing Address
First Line	:	4209 N 147TH ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68116-1434
Country	:	US
Telephone Number	:	531-255-9727
Fax Number	:

Provider Business Practice Location Address
First Line	:	4209 N 147TH ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68116-1434
Country	:	US
Telephone Number	:	531-255-9727
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RHODE JUSTICE SANKIMA
Credential	:
Telephone Number	:	402-972-5968

Provider Enumeration Date	:	11/18/2025
Last Update Date	:	11/18/2025

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Directions to “FAITH CITY WELLCARE ” Practice Location

Language	Start Address	Practice Location

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