Faith Independence 1A Inc

LBN: Faith Independence 1A Inc
Faith Independence 1A Inc is an health care organization with primary practice located at 456 Canby Cir , Ocoee FL 34761-8903. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Faith Independence 1A Inc can be contacted via phone (407) 309-0481, or through Johnson, Lue-Jimmie Fillicia via phone (407) 309-0481.

Contact Information

Primary practice address
456 Canby Cir Ocoee FL 34761-8903
Phone: (407) 309-0481
Fax: (407) 641-9799
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Lue-Jimmie Fillicia
Phone: (407) 309-0481

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1962174078
LBN Legal business name Faith Independence 1A Inc
DBA Doing business as
Authorized official Johnson, Lue-Jimmie Fillicia
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2021
Last updated Sep 28th, 2021 - about 3 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 1962174078 NPPES
Florida MEDICAID 87-2846497

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