Healthcare Provider Details

I. General information

NPI: 1720947278
Provider Name (Legal Business Name): FORTUNA CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2026
Last Update Date: 01/20/2026
Certification Date: 01/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6935 W CARSON RD
LAVEEN AZ
85339-7029
US

IV. Provider business mailing address

6935 W CARSON RD
LAVEEN AZ
85339-7029
US

V. Phone/Fax

Practice location:
  • Phone: 818-858-7595
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: STELLA KEMIGISA
Title or Position: CEO
Credential:
Phone: 818-858-7595