Provider Demographics
NPI:1124435847
Name:FAITH STANDARD HEALTH SERVICES
Entity type:Organization
Organization Name:FAITH STANDARD HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:T
Authorized Official - Last Name:TABENYANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-605-7229
Mailing Address - Street 1:8232 NOVARO DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-4819
Mailing Address - Country:US
Mailing Address - Phone:469-605-7229
Mailing Address - Fax:
Practice Address - Street 1:8232 NOVARO DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-4819
Practice Address - Country:US
Practice Address - Phone:469-605-7229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-15
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3104A0625X, 313M00000X, 314000000X, 3140N1450X
TX8019580523104A0625X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility