MEDICARE: FODOR HEALTHCARE SERVICES LLC

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	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1689526097
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FODOR HEALTHCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	14614 FALLING CREEK DR STE 232
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-2949
Country	:	US
Telephone Number	:	346-383-3635
Fax Number	:

Provider Business Practice Location Address
First Line	:	14614 FALLING CREEK DR STE 232
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-2949
Country	:	US
Telephone Number	:	347-466-8663
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ADEWALE EARNEST ADEGBITE
Credential	:
Telephone Number	:	347-466-8663

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	05/27/2026

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