Provider Demographics
NPI:1023700325
Name:FACO HEALTHCARE SERVICES
Entity type:Organization
Organization Name:FACO HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:STANDLY
Authorized Official - Middle Name:NGWA
Authorized Official - Last Name:ASANGA
Authorized Official - Suffix:
Authorized Official - Credentials:PHAMD
Authorized Official - Phone:617-291-8477
Mailing Address - Street 1:3610 W PIONEER PKWY STE 105
Mailing Address - Street 2:
Mailing Address - City:PANTEGO
Mailing Address - State:TX
Mailing Address - Zip Code:76013-4502
Mailing Address - Country:US
Mailing Address - Phone:817-422-9008
Mailing Address - Fax:817-422-9006
Practice Address - Street 1:3610 W PIONEER PKWY STE 105
Practice Address - Street 2:
Practice Address - City:PANTEGO
Practice Address - State:TX
Practice Address - Zip Code:76013-4502
Practice Address - Country:US
Practice Address - Phone:817-422-9008
Practice Address - Fax:817-422-9006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-24
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health