Healthcare Provider Details

I. General information

NPI: 1306487210
Provider Name (Legal Business Name): FMA HOME HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2019
Last Update Date: 07/10/2024
Certification Date: 07/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7210 JESSIE CT
ARLINGTON TX
76002-4747
US

IV. Provider business mailing address

7210 JESSIE CT
ARLINGTON TX
76002-4747
US

V. Phone/Fax

Practice location:
  • Phone: 817-899-4955
  • Fax: 817-522-4481
Mailing address:
  • Phone: 817-899-4955
  • Fax: 817-522-4481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MR. OLUFEMI FAGBOHUN
Title or Position: ADMINISTRATOR
Credential:
Phone: 817-899-4955