Provider Demographics
NPI:1821780487
Name:FABCARE HOMECARE SERVICES LLC
Entity Type:Organization
Organization Name:FABCARE HOMECARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KEHINDE
Authorized Official - Middle Name:FUNKE
Authorized Official - Last Name:FABIYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-685-6293
Mailing Address - Street 1:7116 MISSIONARY RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-6251
Mailing Address - Country:US
Mailing Address - Phone:919-685-6293
Mailing Address - Fax:
Practice Address - Street 1:7116 MISSIONARY RIDGE DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-6251
Practice Address - Country:US
Practice Address - Phone:919-685-6293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care