Provider Demographics
NPI:1154942423
Name:FAITH HOPE LOVE HOME CARE, LLC
Entity type:Organization
Organization Name:FAITH HOPE LOVE HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:REDDICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-214-5092
Mailing Address - Street 1:PO BOX 1256
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTON
Mailing Address - State:NC
Mailing Address - Zip Code:27892-1256
Mailing Address - Country:US
Mailing Address - Phone:252-789-1770
Mailing Address - Fax:252-789-1970
Practice Address - Street 1:115 E MAIN ST STE 10
Practice Address - Street 2:
Practice Address - City:WILLIAMSTON
Practice Address - State:NC
Practice Address - Zip Code:27892-2482
Practice Address - Country:US
Practice Address - Phone:252-789-1770
Practice Address - Fax:252-789-1970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-28
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCHC5474OtherHEALTH AND HUMAN SERVICES