Provider Demographics
NPI:1427593334
Name:FSSHHS
Entity Type:Organization
Organization Name:FSSHHS
Other - Org Name:FSSVISTA, INC
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NOFISAT
Authorized Official - Middle Name:ABIOLA
Authorized Official - Last Name:OSHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-962-5705
Mailing Address - Street 1:15 GUSTIN AVE
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-2409
Mailing Address - Country:US
Mailing Address - Phone:617-962-5705
Mailing Address - Fax:
Practice Address - Street 1:15 GUSTIN AVE
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-2409
Practice Address - Country:US
Practice Address - Phone:617-962-5705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FSSVISTA, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-12-31
Last Update Date:2016-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)