Provider Demographics
NPI:1942692504
Name:HENRY FATE CORPORATION
Entity Type:Organization
Organization Name:HENRY FATE CORPORATION
Other - Org Name:HOME HELPERS HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:WICKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-310-0141
Mailing Address - Street 1:9325 BAY PLAZA BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-4459
Mailing Address - Country:US
Mailing Address - Phone:813-412-7190
Mailing Address - Fax:813-251-4300
Practice Address - Street 1:9325 BAY PLAZA BLVD, SUITE 205
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619
Practice Address - Country:US
Practice Address - Phone:813-412-7190
Practice Address - Fax:813-251-4300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-19
Last Update Date:2018-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL022591700Medicaid