Healthcare Provider Details

I. General information

NPI: 1578336772
Provider Name (Legal Business Name): FABRIC HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2023
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2920 ROBERTS AVE STE 1110
PHILADELPHIA PA
19129-1227
US

IV. Provider business mailing address

1930 18TH ST NW STE B2 - PMB 2383
WASHINGTON DC
20009-1797
US

V. Phone/Fax

Practice location:
  • Phone: 215-792-3453
  • Fax: 215-999-6685
Mailing address:
  • Phone: 215-792-3453
  • Fax: 215-999-6685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: COURTNEY BRAGG
Title or Position: CO-FOUNDER
Credential:
Phone: 215-792-2185