FAITH RESIDENTIAL SERVICES (NPI# 1144500604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144500604 |
| Entity Type | Organization |
| Organization Name | FAITH RESIDENTIAL SERVICES |
| Practice Address |
516 W Jones St Longview TX 75602-5213 |
| Practice Telephone | 9032341188 |
| Practice Fax Number | 9032360244 |
| Mailing Telephone | 9032341188 |
| Mailing Fax Number | 9032360244 |
| Enumeration Date | 2011-08-27 |
| Last Update Date | 2011-08-27 |
| Authorized Official Name | SARAH GAY WILLIE (OWNER) |
| Authorized Official Telephone | 9032341188 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Faith Residential Services Inc. | Po Box 1086, Chesterfield, Virginia 23832 |
| Street Address |
516 W JONES ST |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75602-5213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083150569 | Mcet-longview | Clinic/Center | 505 North Sixth Street, Longview, TX 75602 | 2017-01-09 |
| 1962561597 | Robert Lee Harper | Dentist | 1002 So M L King Jr Blvd, Longview, TX 75602 | 2006-12-08 |
| 1033202700 | Hervey & Bethard Inc. | Durable Medical Equipment & Medical Supplies | 1900 S. High St., Longview, TX 75602 | 2006-10-02 |
| 1023426665 | Longview Wellness Center, Inc | Clinic/Center | 2131 S Mobberly Ave, Longview, TX 75602 | 2014-07-28 |
| 1063748796 | Jeffery Michael Stowers | Pharmacist | 1900 S High St, Longview, TX 75602 | 2009-10-31 |
| 1326541368 | Tonie Elaine Bryant | Licensed Vocational Nurse | 1006 Flanagan Dr, Longview, TX 75602-1013 | 2018-03-15 |
| 1285145839 | Maria Tran | Specialist/Technologist | 16 Covington Dr, Longview, TX 75602-1071 | 2017-10-21 |
| 1639635444 | G and T Young At Heart | Counselor | 1012 E Cotton St, Longview, TX 75602-1322 | 2019-02-17 |
| 1982020038 | Julie A Dollison | Perfusionist | 301 S Club Dr, Longview, TX 75602-1511 | 2014-03-13 |
| 1881009231 | Brandi Mccracken | Specialist/Technologist, Other | 301 S Club Dr, Longview, TX 75602-1511 | 2014-06-24 |
| Find all providers in zip 75602 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275140014 | Brenda Burford | Assisted Living Facility | 405 E Hondo Ave, Devine, TX 78016-3316 | 2020-09-25 |
| 1639782105 | Fredisolo Annointed Homes | Assisted Living Facility | 1400 Parkwood Trl, Mesquite, TX 75149-7604 | 2020-08-25 |
| 1518514850 | Czp Commercial Projects | Assisted Living Facility | 4414 Park Breeze Dr, Fresno, TX 77545-8605 | 2019-08-21 |
| 1083272603 | The Viera Senior Living | Assisted Living Facility | 3010 Airline Rd, Corpus Christi, TX 78414-3032 | 2019-05-29 |
| 1871082685 | Karla Hudson | Assisted Living Facility | 539 E Delz Dr, Houston, TX 77022-1703 | 2018-05-07 |
| 1427577444 | Thriving Hands Home Care | Assisted Living Facility | 3634 Colony Dr, San Antonio, TX 78230-3210 | 2017-09-11 |
| 1568987055 | Glatrick Annointed Hands of Care LLC | Assisted Living Facility | 14715 Foxbriar Ln, Frisco, TX 75035-1207 | 2017-08-07 |
| 1366991085 | Pinnacle Community Living | Assisted Living Facility | 243 Independence Spring Drive, Sherman, TX 75090-3335 | 2016-09-22 |
| 1447705579 | God Love Assisted Living Homes | Assisted Living Facility | 5623 W Harrow Dr, Houston, TX 77084-1869 | 2016-08-18 |
| 1790140861 | Milestone Personal Care Inc. | Assisted Living Facility | 10602 Chapel Hill Dr, Houston, TX 77099-3905 | 2015-12-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.