Provider Demographics
NPI:1841095288
Name:FODOR HEALTHCARE LLC
Entity type:Organization
Organization Name:FODOR HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ADEWALE
Authorized Official - Middle Name:EARNEST
Authorized Official - Last Name:ADEGBITE
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:347-466-8663
Mailing Address - Street 1:4139 FARMERS PASS RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-1597
Mailing Address - Country:US
Mailing Address - Phone:346-316-3956
Mailing Address - Fax:
Practice Address - Street 1:4139 FARMERS PASS RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1597
Practice Address - Country:US
Practice Address - Phone:347-466-8663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty