MEDICARE: VITAL CARE OF FORNEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1356272363
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VITAL CARE OF FORNEY

Provider Business Mailing Address
First Line	:	1116 RED HAWK LN
Second Line	:
City	:	FORNEY
State	:	TX
Zip	:	75126-2310
Country	:	US
Telephone Number	:	201-838-1029
Fax Number	:

Provider Business Practice Location Address
First Line	:	1116 RED HAWK LN
Second Line	:
City	:	FORNEY
State	:	TX
Zip	:	75126-2310
Country	:	US
Telephone Number	:	201-838-1029
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	FESTUS DURUGO
Credential	:	RN
Telephone Number	:	201-838-1029

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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Directions to “VITAL CARE OF FORNEY ” Practice Location

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