Fortitude Healthcare Services Inc

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

FORTITUDE HEALTHCARE SERVICES INC

Practice address

6522 Cody Mountain TRL
Richmond, TX 77407-3617

Phone

(346) 766-9164

NPI assigned

Jul 11, 2022

Last updated

Jul 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Olufunso A Adeyi

Title

Administrator

Phone

(346) 766-9212

Specialties & licenses 2

Addresses

Other names 1

• OLUFUNSO ADEYI Other name

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1285368803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6522 CODY MOUNTAIN TRL",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774073617",
            "telephone_number": "346-766-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6522 CODY MOUNTAIN TRL",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774073617",
            "telephone_number": "346-766-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTITUDE HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "ADEYI",
        "authorized_official_first_name": "OLUFUNSO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "346-766-9212"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OLUFUNSO ADEYI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Personal Care Attendant in Richmond, TX
• Providers in Richmond, TX by specialty
• Personal Care Attendant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.