National Provider Identifier Database

FADMO HEALTH AND HOME CARE AGENCY INC
Home Infusion


Contact Information

FADMO HEALTH AND HOME CARE AGENCY INC
194 TARGEE ST
STATEN ISLAND, NY10304-1926
Phone: 718-390-0561
Fax: 718-390-5166
Website:
Specialty Taxonomy Code
* Home Infusion 251F00000X
Home Health 251E00000X
In Home Supportive Care 253Z00000X
Nursing Care 251J00000X
Respite Care 385H00000X

* Indicates primary specialty

NPI Profile & details for FADMO HEALTH AND HOME CARE AGENCY INC

NPI Number 1073679205
Legal business name
LBN
FADMO HEALTH AND HOME CARE AGENCY INC
Authorized official ABBY AGBOOLA - (CEO)
Entity Organization
Organization subpart No
Enumeration date 12/30/2006
Last updated 03/05/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 360383-1
  • NY License #: 403674-1
  • NY Medicaid: 1343L001
  • NY Other: 1343L001 CLIA WAIVER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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