Provider Demographics
| NPI: | 1306487210 |
|---|---|
| Name: | FMA HOME HEALTH SERVICES INC |
| Entity type: | Organization |
| Organization Name: | FMA HOME HEALTH SERVICES INC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | ADMINISTRATOR |
| Authorized Official - Prefix: | MR |
| Authorized Official - First Name: | OLUFEMI |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | FAGBOHUN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 817-899-4955 |
| Mailing Address - Street 1: | 7210 JESSIE CT |
| Mailing Address - Street 2: | |
| Mailing Address - City: | ARLINGTON |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 76002-4747 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 817-899-4955 |
| Mailing Address - Fax: | 817-522-4481 |
| Practice Address - Street 1: | 7210 JESSIE CT |
| Practice Address - Street 2: | |
| Practice Address - City: | ARLINGTON |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 76002-4747 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 817-899-4955 |
| Practice Address - Fax: | 817-522-4481 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2019-10-01 |
| Last Update Date: | 2024-07-10 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 3747P1801X | Nursing Service Related Providers | Technician | Personal Care Attendant | Group - Multi-Specialty |
| No | 251E00000X | Agencies | Home Health |