Provider Demographics
NPI:1811150972
Name:FORA CARE INC.
Entity type:Organization
Organization Name:FORA CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHU-MEI
Authorized Official - Middle Name:
Authorized Official - Last Name:WU
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:805-498-8188
Mailing Address - Street 1:893 PATRIOT DR STE D
Mailing Address - Street 2:
Mailing Address - City:MOORPARK
Mailing Address - State:CA
Mailing Address - Zip Code:93021-3357
Mailing Address - Country:US
Mailing Address - Phone:805-498-8188
Mailing Address - Fax:805-498-7188
Practice Address - Street 1:893 PATRIOT DR STE D
Practice Address - Street 2:
Practice Address - City:MOORPARK
Practice Address - State:CA
Practice Address - Zip Code:93021-3357
Practice Address - Country:US
Practice Address - Phone:805-498-8188
Practice Address - Fax:805-498-7188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-08
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA08-00015600332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies