Provider Demographics
NPI:1033620349
Name:F PLANET HEALTHCARE
Entity Type:Organization
Organization Name:F PLANET HEALTHCARE
Other - Org Name:F PLANET HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OLUWADARE
Authorized Official - Middle Name:
Authorized Official - Last Name:FADURI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-753-4924
Mailing Address - Street 1:21318 MYSTIC OAK DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-6750
Mailing Address - Country:US
Mailing Address - Phone:646-753-4924
Mailing Address - Fax:844-358-1424
Practice Address - Street 1:21318 MYSTIC OAK DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-6750
Practice Address - Country:US
Practice Address - Phone:646-753-4924
Practice Address - Fax:844-358-1424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-14
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX018277253Z00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care