Active NPI
Fortabs Health Care LLC
- Home Health Aide
- Kennewick, WA
National Provider Identifier
1205755196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- FORTABS HEALTH CARE LLC
- Practice address
- 120 S Kansas St
Kennewick, WA 99336-9422 - Phone
- (614) 515-9284
- NPI assigned
- Jul 14, 2026
- 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
- Ajuseh Fortaboh
- Title
- Owner
- Phone
- (614) 515-9284
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Licensed Practical Nurse | 164W00000X | |||
| Nurse Practitioner | 363L00000X | |||
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
120 S Kansas St
Kennewick, WA 99336-9422
Mailing address
120 S Kansas St
Kennewick, WA 99336-9422
Phone (614) 515-9284
National Provider Directory
National Provider Directory- Tax ID family
- Fortabs Health Care LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Kennewick, WA
- NPI 1225958754
-
- Home Health Clinical Nurse Specialist
- Kennewick, WA
- NPI 1386579654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783987200000",
"number": "1205755196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 S KANSAS ST",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993369422",
"telephone_number": "614-515-9284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 S KANSAS ST",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993369422",
"telephone_number": "614-515-9284"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORTABS HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-14",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A",
"authorized_official_last_name": "FORTABOH",
"authorized_official_first_name": "AJUSEH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "614-515-9284"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.