FADMO HEALTH AND HOME CARE AGENCY INC NPI 1073679205

NPI Information

NPI: 1073679205
Provider Name: FADMO HEALTH AND HOME CARE AGENCY INC

Former Legal Business Name: FADMO HEALTH AND ALLIED SCHOOL

Classification: Home Infusion - 251F00000X
Entity Type: Organization

Address:
194 TARGEE ST
STATEN ISLAND, NY
ZIP 10304
Phone: (718) 390-0561
Get Directions

FADMO HEALTH AND HOME CARE AGENCY INC is a home infusion in Staten Island, NY. FADMO HEALTH AND HOME CARE AGENCY INC NPI is 1073679205. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Fadmo Health And Allied School.

The provider's business location address is:

194 TARGEE ST
STATEN ISLAND, NY
ZIP 10304-926
Phone: (718) 390-0561
Fax: (718) 390-5166

The provider's authorized official is Abby Agboola .
The authorized official title is Ceo and has the following contact phone number (718) 390-0561.

The CLIA number assigned to this NPI record is 33D1079306 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/30/2006 and was last updated on 3/5/2021.

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 Code	Taxonomy Clasification	License Number	License State	Primary
1	251J00000X	Nursing Care	403674-1	NEW YORK	No
2	253Z00000X	In Home Supportive Care			No
3	385H00000X	Respite Care	360383-1	NEW YORK	No
4	251E00000X	Home Health	403674-1	NEW YORK	No
5	251F00000X	Home Infusion			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1343L001	OTHER	NEW YORK	CLIA WAIVER
2	1343L001	MEDICAID	NEW YORK

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: 11/14/2023

NPI Synchronization or Removal

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