Provider Demographics
NPI:1104345164
Name:FAITH HEALTHCARE LLC
Entity type:Organization
Organization Name:FAITH HEALTHCARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:KIMZEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-296-7636
Mailing Address - Street 1:11827 W 112TH STREET
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-2700
Mailing Address - Country:US
Mailing Address - Phone:913-296-7636
Mailing Address - Fax:913-296-7638
Practice Address - Street 1:2700 NE KENDALLWOOD PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:GLADSTONE
Practice Address - State:MO
Practice Address - Zip Code:64119-2060
Practice Address - Country:US
Practice Address - Phone:913-296-7636
Practice Address - Fax:913-296-7638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-11
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health