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FAITH HAVEN HEALTHCARE, LLC
NPI 1548095904
General Practice in Ripley, WV

Active since September 05, 2024CLIA 51D2251391 · Waiver
222 MAIN ST W, RIPLEY, WV 25271(304) 372-9679(304) 373-0117 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 24, 2026, Sep 5, 2024 (2 updates tracked since 2024).

About Faith Haven Healthcare, Llc NPPES

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

FAITH HAVEN HEALTHCARE, LLC (NPI 1548095904) is a healthcare organization registered as a general practice in Ripley, West Virginia and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through February 1, 2028 and lists Tabitha Lynn Smith, Owner, Fnpc, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1548095904
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameFAITH HAVEN HEALTHCARE, LLC
Location Address222 MAIN ST WRipley, WV 25271-1432
Mailing Address222 Main St WRipley, WV 25271-1432 · (304) 372-9679 · Fax (304) 373-0117
Phone(304) 372-9679
Fax(304) 373-0117
Organization SubpartNo
Authorized OfficialTabitha Lynn SmithOwner, Fnpc, Medical Director · (304) 372-9679
Enumeration DateSeptember 5, 2024
Last NPPES UpdateApril 24, 20262 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
✔ NPI 1548095904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
222 MAIN ST W, Ripley, WV 25271
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Faith Haven Healthcare, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Faith Haven Healthcare, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Tabitha Smith, APRN
Nurse Practitioner
NPI 1073003117
222 MAIN ST W
Ripley, WV 25271
(304) 372-9679
✔ PECOS✔ Accepts MedicareSame address
Melanie Danielson
Clinical Social Worker
NPI 1114793486
22436 SOUTHSHORE DR
Land O Lakes, FL 34639
(304) 654-7557
✔ PECOS✔ Accepts Medicare733 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D2251391

Faith Haven Healthcare, LLC · Ripley, WV
Active · expires Feb 1, 2028
CLIA Number51D2251391
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 2, 2026
Certificate Expiration DateFebruary 1, 2028
Laboratory DirectorTabitha L. Smith
Laboratory Phone(304) 812-6966
Laboratory LocationFaith Haven Healthcare, LLC2222 Main Street, Ripley, WV 25271
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Haven Healthcare, LLC's NPI number?

The NPI number for Faith Haven Healthcare, LLC is 1548095904. It was assigned to this organization in the NPPES registry on September 5, 2024.

Where is Faith Haven Healthcare, LLC located?

Faith Haven Healthcare, LLC is located at 222 Main St W, Ripley, WV 25271. The listed phone number is (304) 372-9679.

What is Faith Haven Healthcare, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Faith Haven Healthcare, LLC enrolled in Medicare?

Yes. Faith Haven Healthcare, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Faith Haven Healthcare, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Faith Haven Healthcare, LLC, in Clinical Social Worker and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Faith Haven Healthcare, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2251391) is associated with this NPI, valid through February 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Faith Haven Healthcare, LLC accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Faith Haven Healthcare, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Faith Haven Healthcare, LLC was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.