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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 Specialty Code Provider Type

Home Infusion

251F00000X
 

Home Health

251E00000X A4[11] Home Health Agency
 

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
LBN Legal business name FADMO HEALTH AND HOME CARE AGENCY INC
Authorized official ABBY AGBOOLA - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/30/2006
Last updated 03/05/2021 - About 5 years ago
Identifiers
NY License # 360383-1
NY License # 403674-1
NY Medicaid 1343L001
NY Other 1343L001 CLIA WAIVER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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