MEDICARE: FURNIFAAD ENTERPRISES LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	251J00000X	Nursing Care Agency
3	315P00000X	Intellectual Disabilities Intermediate Care Facility
4	3747P1801X	Personal Care Attendant
5	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1962117317
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FURNIFAAD ENTERPRISES LLC

Provider Business Mailing Address
First Line	:	8103 CLIFFSIDE TERRACE CT
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-3061
Country	:	US
Telephone Number	:	832-387-2129
Fax Number	:

Provider Business Practice Location Address
First Line	:	8103 CLIFFSIDE TERRACE CT
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-3061
Country	:	US
Telephone Number	:	832-387-2129
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	JELILI ADEBISI
Credential	:	RN
Telephone Number	:	832-387-2129

Provider Enumeration Date	:	01/19/2023
Last Update Date	:	03/10/2026

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