MEDICARE: F&G HOME CARE SERVICES

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1760340186
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	F&G HOME CARE SERVICES

Provider Business Mailing Address
First Line	:	5355 SUGARLOAF PKWY APT 1309
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30043-5758
Country	:	US
Telephone Number	:	678-499-0880
Fax Number	:	678-499-0880

Provider Business Practice Location Address
First Line	:	5355 SUGARLOAF PKWY APT 1309
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30043-5758
Country	:	US
Telephone Number	:	678-499-0880
Fax Number	:	678-499-0880

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. FELICIA BOATEMAA MENSAH-WHYTE
Credential	:
Telephone Number	:	678-499-0880

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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