Provider Demographics
NPI:1740143197
Name:KEEPING FAITH GROUP HOME LLC
Entity type:Organization
Organization Name:KEEPING FAITH GROUP HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALTERNATE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:OLUKUNLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-386-0970
Mailing Address - Street 1:1864 WOODCHASE DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76120-5160
Mailing Address - Country:US
Mailing Address - Phone:682-386-0970
Mailing Address - Fax:
Practice Address - Street 1:1864 WOODCHASE DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76120-5160
Practice Address - Country:US
Practice Address - Phone:682-386-0970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-03
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health