Active NPI
Fma Home Health Services Inc
- Personal Care Attendant
- Arlington, TX
National Provider Identifier
1306487210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Personal Care Attendant | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Ownership
- -
- Certified
- Oct 12, 2022
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Olufemi Fagbohun | 5% Or Greater Direct Ownership Interest | Sep 30, 2019 | 34% |
| Corporate Officer | Sep 30, 2019 | 34% | |
| Corporate Director | Sep 30, 2019 | 34% | |
| W-2 Managing Employee | Sep 30, 2019 | 34% | |
| Operational/Managerial Control | Sep 30, 2019 | 34% | |
| Ebenezer Adetola | 5% Or Greater Direct Ownership Interest | Sep 30, 2019 | 33% |
| Corporate Officer | Sep 30, 2019 | 33% | |
| Corporate Director | Sep 30, 2019 | 33% | |
| W-2 Managing Employee | Sep 30, 2019 | 33% | |
| Operational/Managerial Control | Sep 30, 2019 | 33% | |
| Mary Ajose | 5% Or Greater Direct Ownership Interest | Sep 30, 2019 | 33% |
| Corporate Officer | Sep 30, 2019 | 33% | |
| Corporate Director | Sep 30, 2019 | 33% | |
| W-2 Managing Employee | Sep 30, 2019 | 33% | |
| Operational/Managerial Control | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.