Organization Active NPI

Fma Home Health Services Inc

  • Personal Care Attendant
  • Arlington, TX
National Provider Identifier
1306487210
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
FMA HOME HEALTH SERVICES INC
Practice address
7210 Jessie CT
Arlington, TX 76002-4747
Phone
(817) 899-4955
Fax
(817) 522-4481
NPI assigned
Oct 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Mr. Olufemi Fagbohun
Title
Administrator
Phone
(817) 899-4955

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

7210 Jessie CT
Arlington, TX 76002-4747

Mailing address

7210 Jessie CT
Arlington, TX 76002-4747
Phone (817) 899-4955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201002002809 TX Part A Provider - Home Health Agency 2567881907 Practice locations: Arlington, TX

Home health agency certification: CCN 748061

Legal name
FMA HOME HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 12, 2022
Last certification
Oct 12, 2022
Organization structure
CorporationProprietary
Incorporated
Sep 30, 2019 in TX
Enrollment address
7210 Jessie CT
Arlington, TX 76002-4747

Care Compare: Home health agency

Medicare Care Compare
Listed as
Fma Home Health Services IncCCN 748061
Ownership
-
Certified
Oct 12, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Olufemi Fagbohun Individual 5% Or Greater Direct Ownership InterestAdministrator Sep 30, 2019 34%
Corporate OfficerAdministrator Sep 30, 2019 34%
Corporate DirectorAdministrator Sep 30, 2019 34%
W-2 Managing EmployeeAdministrator Sep 30, 2019 34%
Operational/Managerial ControlAdministrator Sep 30, 2019 34%
Ebenezer Adetola Individual 5% Or Greater Direct Ownership InterestChief Operation Officer Sep 30, 2019 33%
Corporate OfficerChief Operation Officer Sep 30, 2019 33%
Corporate DirectorChief Operation Officer Sep 30, 2019 33%
W-2 Managing EmployeeChief Operation Officer Sep 30, 2019 33%
Operational/Managerial ControlChief Operation Officer Sep 30, 2019 33%
Mary Ajose Individual 5% Or Greater Direct Ownership InterestAlternate Supervising Nurse Sep 30, 2019 33%
Corporate OfficerAlternate Supervising Nurse Sep 30, 2019 33%
Corporate DirectorAlternate Supervising Nurse Sep 30, 2019 33%
W-2 Managing EmployeeAlternate Supervising Nurse Sep 30, 2019 33%
Operational/Managerial ControlAlternate Supervising Nurse Sep 30, 2019 33%

NPI Registry JSON

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1306487210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 JESSIE CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760024747",
            "telephone_number": "817-899-4955",
            "fax_number": "817-522-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 JESSIE CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760024747",
            "telephone_number": "817-899-4955",
            "fax_number": "817-522-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMA HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-01",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "FAGBOHUN",
        "authorized_official_first_name": "OLUFEMI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-899-4955",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.