Active NPI
Fruitful Healthcare SL
- Case Manager/Care Coordinator
- Des Moines, IA
National Provider Identifier
1144085242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- FRUITFUL HEALTHCARE SL
- Doing business as
- Fruitful Healthcare SL
- Practice address
- 5731 Urbandale Ave Ste 3
Des Moines, IA 50310-1271 - Phone
- (614) 598-3311
- NPI assigned
- Feb 19, 2024
- Last updated
- Feb 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abu Bakarr George Bockare Sillah
- Title
- Chief Executive Officer
- Phone
- (614) 598-3311
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Chore Provider | 372500000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
5731 Urbandale Ave Ste 3
Des Moines, IA 50310-1271
Mailing address
5731 Urbandale Ave Ste 3
Des Moines, IA 50310-1271
Phone (614) 598-3311
Other names 1
- Fruitful Healthcare SL
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708387200000",
"number": "1144085242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5731 URBANDALE AVE STE 3",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503101271",
"telephone_number": "614-598-3311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5731 URBANDALE AVE STE 3",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503101271",
"telephone_number": "614-598-3311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRUITFUL HEALTHCARE SL",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-19",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A",
"authorized_official_last_name": "SILLAH",
"authorized_official_first_name": "ABU BAKARR GEORGE",
"authorized_official_middle_name": "BOCKARE",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "614-598-3311"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fruitful Healthcare SL",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.