Provider Demographics
NPI:1992097356
Name:FAITHFUL FOUNDATIONS HOME HEALTH CARE INC
Entity type:Organization
Organization Name:FAITHFUL FOUNDATIONS HOME HEALTH CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-841-7957
Mailing Address - Street 1:7280 NW 87TH TERRACE STE 210
Mailing Address - Street 2:
Mailing Address - City:KANSAS
Mailing Address - State:MO
Mailing Address - Zip Code:64153
Mailing Address - Country:US
Mailing Address - Phone:816-841-7957
Mailing Address - Fax:816-841-7701
Practice Address - Street 1:7280 NW 87TH TER STE 210
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64153-3706
Practice Address - Country:US
Practice Address - Phone:816-841-7957
Practice Address - Fax:816-841-7701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-04
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO261QH0100X261QH0100X
MO385HR2055X385HR2055X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2007027188OtherRN NUMBER