FAITH HEART HOMECARE
NPI 1700565090
In Home Supportive Care in Forest, MS

Active since July 13, 2023
125 EAST 1ST ST, FOREST, MS 39074(601) 287-8012(601) 287-8219 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 9, 2023, Jul 13, 2023 (2 updates tracked since 2023).

  • Organization
  • In Home Supportive Care

About FAITH HEART HOMECARE

This page provides the complete NPI Profile along with additional information for Faith Heart Homecare, a provider established in Forest, Mississippi operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1700565090 assigned on July 2023. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's former legal business name is Faith Heart Homecare Ceo. The authorized official of this NPI record is Tynishia Rene Freeman (Ceo)

NPI
1700565090 Verify this NPI
Provider Legal Name
FAITH HEART HOMECARE
Other Organization Name
FAITH HEART HOMECARE CEO
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
125 EAST 1ST ST FOREST, MS 39074
Location Phone
(601) 287-8012
Location Fax
(601) 287-8219
Mailing Address
125 EAST 1ST ST FOREST, MS 39074
Mailing Phone
(601) 287-8012
Mailing Fax
(601) 287-8219
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-13-2023
Last Update Date
11-09-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
Taxonomy Description
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TYNISHIA RENE FREEMAN

Authorized Official Title
CEO
Authorized Official Phone
(601) 462-6099

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700565090, enumerated as an "organization" on July 13, 2023.

The provider is located at 125 EAST 1ST ST FOREST, MS 39074 and the phone number is (601) 287-8012.

In Home Supportive Care with taxonomy code 253Z00000X.