Healthcare Provider Details

I. General information

NPI: 1891679932
Provider Name (Legal Business Name): FNN COMMUNITY SUPPORT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2025
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6021 OTTERBEIN LN APT 209
ELLICOTT CITY MD
21043-7633
US

IV. Provider business mailing address

6021 OTTERBEIN LN APT 209
ELLICOTT CITY MD
21043-7633
US

V. Phone/Fax

Practice location:
  • Phone: 410-417-7958
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: FATUMA NAGAMI
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 508-665-8067