MEDICARE: FURAHA COMMUNITY 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	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1760293690
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FURAHA COMMUNITY SERVICES LLC

Provider Business Mailing Address
First Line	:	4360 BELTWAY PL STE 280
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76018-5250
Country	:	US
Telephone Number	:	410-660-5117
Fax Number	:

Provider Business Practice Location Address
First Line	:	4360 BELTWAY PL STE 280
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76018-5250
Country	:	US
Telephone Number	:	410-660-5117
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	KERUBO HAPPINESS NYACHIEO
Credential	:
Telephone Number	:	410-660-5117

Provider Enumeration Date	:	01/20/2025
Last Update Date	:	05/29/2026

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Directions to “FURAHA COMMUNITY SERVICES LLC ” Practice Location

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