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FORTUNE HEALTHCARE INC NPI 1326425505


NPI Information

NPI: 1326425505
Provider Name: FORTUNE HEALTHCARE, INC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 45D1062709

Address:
2825 WILCREST DR
SUITE 312
HOUSTON, TX
ZIP 77042
Phone: (713) 771-0032
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FORTUNE HEALTHCARE, INC is a hospice care community based in Houston, TX. FORTUNE HEALTHCARE, INC NPI is 1326425505. The provider is registered as an organization entity type.

The provider's business location address is:

2825 WILCREST DR
SUITE 312
HOUSTON, TX
ZIP 77042-391
Phone: (713) 771-0032
Fax: (713) 771-0039

The provider's authorized official is Huma Shah .
The authorized official title is Administrator and has the following contact phone number (713) 771-0032.

The CLIA number assigned to this NPI record is 45D1062709 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/27/2015 and was last updated on 4/27/2015.


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
1251G00000XHospice Care, Community Based12517TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1741533MEDICARE PINTEXAS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.