=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891063525
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FNI HEALTHCARE, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/08/2011
-----------------------------------------------------
Last Update Date | 12/08/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 900 COMMONWEALTH PL STE. 200
-----------------------------------------------------
City | VIRGINIA BEACH
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23464-4517
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 866-411-6610
-----------------------------------------------------
Fax | 800-214-9095
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 900 COMMONWEALTH PL STE. 200
-----------------------------------------------------
City | VIRGINIA BEACH
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23464-4517
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 866-411-6610
-----------------------------------------------------
Fax | 800-214-9095
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | DIG VIJAY SINGH
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 757-271-3861
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 492335
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------