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FIDIA CARE HOMES NPI 1316723497


NPI Information

NPI: 1316723497
Provider Name: FIDIA CARE HOMES
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
3249 TODD AVE
FORT WORTH, TX
ZIP 76110
Phone: (862) 888-7692
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FIDIA CARE HOMES is a community based residential treatment facility, intellectual and/or developmental disabilities in Fort Worth, TX. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. FIDIA CARE HOMES NPI is 1316723497. The provider is registered as an organization entity type.

The provider's business location address is:

3249 TODD AVE
FORT WORTH, TX
ZIP 76110-534
Phone: (862) 888-7692

The provider's authorized official is Fidia Niyonzima .
The authorized official title is Owner and has the following contact phone number (862) 888-7692.

The enumeration date for this NPI number is 9/5/2023 and was last updated on 9/7/2023.


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 Taxonomy Specialization License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care HomeNo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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: 5/5/2024

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