Provider Demographics
NPI:1790739282
Name:FAITH HOSPICE
Entity type:Organization
Organization Name:FAITH HOSPICE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KINDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-235-5015
Mailing Address - Street 1:8214 PFEIFFER FARMS DR SW
Mailing Address - Street 2:
Mailing Address - City:BYRON CENTER
Mailing Address - State:MI
Mailing Address - Zip Code:49315-8288
Mailing Address - Country:US
Mailing Address - Phone:616-356-4820
Mailing Address - Fax:616-235-5050
Practice Address - Street 1:8214 PFEIFFER FARMS DR SW STE 303
Practice Address - Street 2:
Practice Address - City:BYRON CENTER
Practice Address - State:MI
Practice Address - Zip Code:49315-8288
Practice Address - Country:US
Practice Address - Phone:616-356-4820
Practice Address - Fax:616-235-5050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient
Provider Identifiers
StateIdentifier IDID TypeIssuer
08762OtherBCBS OF MICHIGAN
MI3161730Medicaid
231570Medicare Oscar/Certification