Healthcare Provider Details

I. General information

NPI: 1639614225
Provider Name (Legal Business Name): FMC HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2017
Last Update Date: 12/13/2022
Certification Date: 12/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7322 SOUTHWEST FWY # I-630F
HOUSTON TX
77074-2010
US

IV. Provider business mailing address

7322 SOUTHWEST FWY # I-630F
HOUSTON TX
77074-2010
US

V. Phone/Fax

Practice location:
  • Phone: 832-659-2392
  • Fax:
Mailing address:
  • Phone: 832-659-2392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. CHUKWUMA FRANKLIN ONYEJIAKA
Title or Position: PROGRAM MANAGER
Credential:
Phone: 832-659-2392