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FAITH TABERNACLE WORLD OUTREACH INC
NPI 1417070210
Residential Treatment Facility, Emotionally Disturbed Children in Fredericktown, MO

Active since April 08, 2007
600 SARGENT DR, FREDERICKTOWN, MO 63645(573) 783-4400(573) 783-4409 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2022, Jan 4, 2017 (2 updates tracked since 2017).

About Faith Tabernacle World Outreach Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAITH TABERNACLE WORLD OUTREACH INC (NPI 1417070210), doing business as Faith Foundation Children's Home, is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Fredericktown, Missouri and active in the NPI registry since April 2007. The organization lists Deborah Joy Booth, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1417070210
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameFAITH TABERNACLE WORLD OUTREACH INC
Location Address600 SARGENT DRFredericktown, MO 63645-7526
Mailing AddressPo Box 25Fredricktown, MO 63645 · (573) 783-4400 · Fax (573) 783-4409
Phone(573) 783-4400
Fax(573) 783-4409
Organization SubpartNo
Authorized OfficialDeborah Joy BoothClinical Director · (573) 783-4400
Enumeration DateApril 8, 2007
Last NPPES UpdateOctober 15, 20252 updates tracked since enumeration
NPPES CertifiedOctober 15, 2025
✔ NPI 1417070210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in MO · 001742092
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
600 SARGENT DR, Fredericktown, MO 63645
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Other Names 1

Doing Business AsFaith Foundation Children's Home

Other Identifiers 4

Medicaid490026705MO
Medicaid495888919MO
Medicaid495933814MO
Medicaid495968604MO

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELA D LEWIS LPC
Counselor (Professional)
600 SARGENT DR
FREDERICKTOWN, MO 63645
Madison County (573) 783-4400
MRS. CYRENA MARIE DANN MS, PLPC
Counselor (Mental Health)
600 SARGENT DR
FREDERICKTOWN, MO 63645
Madison County (573) 783-4400
MICHELLE ALICIA RENNA
Counselor (Professional)
600 SARGENT DR
FREDERICKTOWN, MO 63645
Madison County (573) 783-4400
REBECCAH C SARGENT
Counselor
600 SARGENT DR
FREDERICKTOWN, MO 63645
Madison County (573) 783-4400
DORCAS UNRUH MS, LPC
Counselor (Professional)
600 SARGENT DR
FREDERICKTOWN, MO 63645
Madison County (573) 783-4400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Faith Tabernacle World Outreach Inc's NPI number?

The NPI number for Faith Tabernacle World Outreach Inc is 1417070210. It was assigned to this organization in the NPPES registry on April 8, 2007. The provider is doing business as Faith Foundation Children's Home.

Where is Faith Tabernacle World Outreach Inc located?

Faith Tabernacle World Outreach Inc is located at 600 Sargent Dr, Fredericktown, MO 63645. The listed phone number is (573) 783-4400.

What is Faith Tabernacle World Outreach Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Faith Tabernacle World Outreach Inc was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.