Healthcare Provider Details

I. General information

NPI: 1609724350
Provider Name (Legal Business Name): FAIR HOUSING MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2026
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4325 WATT AVE
SACRAMENTO CA
95821-7011
US

IV. Provider business mailing address

4325 WATT AVE
SACRAMENTO CA
95821-7011
US

V. Phone/Fax

Practice location:
  • Phone: 916-917-6286
  • Fax:
Mailing address:
  • Phone: 916-917-6286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. MD NAYEM ISLAM
Title or Position: CEO
Credential:
Phone: 916-917-6286