Provider Demographics
NPI:1275107575
Name:CONFIENZA FORTUNE INC
Entity Type:Organization
Organization Name:CONFIENZA FORTUNE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TANAY
Authorized Official - Middle Name:ABENA
Authorized Official - Last Name:COLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-310-6089
Mailing Address - Street 1:13348 LAMEL ST
Mailing Address - Street 2:
Mailing Address - City:NORTH EDWARDS
Mailing Address - State:CA
Mailing Address - Zip Code:93523-3228
Mailing Address - Country:US
Mailing Address - Phone:914-310-6089
Mailing Address - Fax:
Practice Address - Street 1:13348 LAMEL ST
Practice Address - Street 2:
Practice Address - City:NORTH EDWARDS
Practice Address - State:CA
Practice Address - Zip Code:93523-3228
Practice Address - Country:US
Practice Address - Phone:914-310-6089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children