Healthcare Provider Details

I. General information

NPI: 1720845050
Provider Name (Legal Business Name): FIRST FORTUNE HOME HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2024
Last Update Date: 03/04/2024
Certification Date: 03/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1108 GONDAR AVE
HYATTSVILLE MD
20785-4325
US

IV. Provider business mailing address

804 RUNNERS RDG
PFLUGERVILLE TX
78660-3706
US

V. Phone/Fax

Practice location:
  • Phone: 512-487-9635
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: FELIX NTAH
Title or Position: PRESIDENT
Credential:
Phone: 512-487-9635