Organization Active NPI

Fruitful Healthcare SL

  • Case Manager/Care Coordinator
  • Des Moines, IA
National Provider Identifier
1144085242
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.