NPIMap

Organization Active NPI

Fortabs Health Care LLC

  • Home Health Agency
  • Kennewick, WA
National Provider Identifier
1225958754
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FORTABS HEALTH CARE LLC
Practice address
120 S Kansas St
Kennewick, WA 99336-9422
Phone
(614) 515-9284
NPI assigned
Jul 16, 2026
Last updated
Jul 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Ajuseh FortabohNPI 1730416942
Title
Owner
Phone
(614) 515-9284

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Community/Behavioral Health Agency 251S00000X

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 LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1784160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1225958754",
    "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": "2026-07-16",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 16, 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.

Verify at the official NPI Registry.