Provider Demographics
NPI:1194952481
Name:FAITH HOME HEALTH PLUS INC.
Entity type:Organization
Organization Name:FAITH HOME HEALTH PLUS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:IDEMUDIA
Authorized Official - Last Name:ODIASE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:817-557-9323
Mailing Address - Street 1:6608 OLDGATE LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76002-5474
Mailing Address - Country:US
Mailing Address - Phone:817-557-9323
Mailing Address - Fax:817-557-6246
Practice Address - Street 1:6608 OLDGATE LN
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76002-5474
Practice Address - Country:US
Practice Address - Phone:817-557-9323
Practice Address - Fax:817-557-6246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-15
Last Update Date:2009-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health