Fortitude Home Health, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FORTITUDE HOME HEALTH, INC

Practice address

520 N Brookhurst St Ste 134
Anaheim, CA 92801-5235

Phone

(562) 352-6244

NPI assigned

Nov 1, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marie Grace Gavina, LVN

Title

Ceo

Phone

(562) 352-6244

Specialties & licenses 1

Addresses

Listed as

Fortitude Home Health, Inc.CCN 559559

Overall star rating

2.5 of 5

Ownership

-

Certified

Sep 17, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1043787583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N BROOKHURST ST STE 134",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015235",
            "telephone_number": "562-352-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N BROOKHURST ST STE 134",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015235",
            "telephone_number": "562-352-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTITUDE HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "GAVINA",
        "authorized_official_first_name": "MARIE GRACE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-352-6244",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna J. Formichella, MD
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• Pamela Katrina L Foronda
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• Jamie Ashley Fortman, MD
• Elizabeth Foster
• Foundations to Futures ABA Company LLC
• Four Horsemen Pharmacy Inc

• Home Health Agency in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.