Provider Demographics
NPI:1669368056
Name:FAITHFUL HEARTS LLC
Entity type:Organization
Organization Name:FAITHFUL HEARTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:NONINA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:HINDSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-581-5958
Mailing Address - Street 1:709 FLANDERS AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45309-1387
Mailing Address - Country:US
Mailing Address - Phone:937-581-5958
Mailing Address - Fax:
Practice Address - Street 1:2135 N GETTYSBURG AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45406-3563
Practice Address - Country:US
Practice Address - Phone:937-581-5958
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health