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FORTRESS HOME HEALTH AGENCY INC NPI 1396854931


NPI Information

NPI: 1396854931
Provider Name: FORTRESS HOME HEALTH AGENCY INC
Classification: Nursing Care - 251J00000X
Entity Type: Organization

CLIA Number: 45D1059484

Address:
8330 LBJ FWY
STE 490
DALLAS, TX
ZIP 75243
Phone: (972) 283-9500
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FORTRESS HOME HEALTH AGENCY INC is a nursing care in Dallas, TX. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. FORTRESS HOME HEALTH AGENCY INC NPI is 1396854931. The provider is registered as an organization entity type.

The provider's business location address is:

8330 LBJ FWY
STE 490
DALLAS, TX
ZIP 75243-166
Phone: (972) 283-9500
Fax: (972) 283-9501

The provider's authorized official is Michael Udoessien .
The authorized official title is Adminstrator and has the following contact phone number (972) 283-9500.

The CLIA number assigned to this NPI record is 45D1059484 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 6/17/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome Health010686TEXASNo
23747P1801XTechnicianPersonal Care AttendantNo
3251J00000XNursing CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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