Provider Demographics
NPI:1386161081
Name:FAITH WITH WORKS LLC
Entity type:Organization
Organization Name:FAITH WITH WORKS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGETTE
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-315-8561
Mailing Address - Street 1:8488 GEORGIA ST STE D
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-6940
Mailing Address - Country:US
Mailing Address - Phone:219-321-9130
Mailing Address - Fax:219-321-9133
Practice Address - Street 1:8488 GEORGIA ST STE D
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-6940
Practice Address - Country:US
Practice Address - Phone:219-321-9130
Practice Address - Fax:219-321-9133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-24
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN170140141253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care