Faith Group Home Inc.

LBN: Faith Group Home Inc.
Faith Group Home Inc. is an health care organization with primary practice located at 836 W Desoto St Ste 5E , Clermont FL 34711-2110. The organization recently has only one registered license in Agencies / In Home Supportive Care, which is considered as the primary health care specialty. Faith Group Home Inc. can be contacted via phone (352) 396-1247, or through Roberson, Roderick Larow via phone (352) 396-1247.

Contact Information

Primary practice address
836 W Desoto St Ste 5E Clermont FL 34711-2110
Phone: (352) 396-1247
Fax: (352) 394-2353
Website:
Map and Directions
Authorized official contact:
Name: Roberson, Roderick Larow
Phone: (352) 396-1247

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1023772738
LBN Legal business name Faith Group Home Inc.
DBA Doing business as
Authorized official Roberson, Roderick Larow
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2021
Last updated Oct 28th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023772738 NPPES
Florida MEDICAID 103245100

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