Provider Demographics
NPI:1699255604
Name:FAITHFUL CAREGIVERS,LLC
Entity type:Organization
Organization Name:FAITHFUL CAREGIVERS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR/DON
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARHOO
Authorized Official - Suffix:
Authorized Official - Credentials:RNBC
Authorized Official - Phone:386-852-7464
Mailing Address - Street 1:1501 RIDGEWOOD AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:HOLLY HILL
Mailing Address - State:FL
Mailing Address - Zip Code:32117-2257
Mailing Address - Country:US
Mailing Address - Phone:386-852-7464
Mailing Address - Fax:386-333-9348
Practice Address - Street 1:1501 RIDGEWOOD AVE STE 207
Practice Address - Street 2:
Practice Address - City:HOLLY HILL
Practice Address - State:FL
Practice Address - Zip Code:32117-2257
Practice Address - Country:US
Practice Address - Phone:386-852-7464
Practice Address - Fax:386-333-9348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-19
Last Update Date:2018-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211987251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care