Provider Demographics
NPI:1114465622
Name:THE FORGOTTEN ONES INCORPORATED
Entity Type:Organization
Organization Name:THE FORGOTTEN ONES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NAKEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-314-7784
Mailing Address - Street 1:5037 NEWTOWN RD
Mailing Address - Street 2:4D
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-1711
Mailing Address - Country:US
Mailing Address - Phone:347-314-7784
Mailing Address - Fax:
Practice Address - Street 1:5037 NEWTOWN RD
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-1711
Practice Address - Country:US
Practice Address - Phone:347-314-7784
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-03
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No302F00000XManaged Care OrganizationsExclusive Provider Organization