Fervent Care Services LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

FERVENT CARE SERVICES LLC

Practice address

4225 E University Dr Apt 107
Mesa, AZ 85205-7092

Phone

(763) 923-1475

NPI assigned

Jan 16, 2023

Organization subpart

No

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

Authorized official

Name

Lucky Ida IgbinobaNPI 1982326070

Title

Ceo

Phone

(763) 723-1475

Specialties & licenses 2

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lucky Igbinoba

  • Behavior Technician
  • Gilbert, AZ
  • NPI 1982326070
  NPD Authorized official

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1316652332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 E UNIVERSITY DR APT 107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852057092",
            "telephone_number": "763-923-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 E UNIVERSITY DR APT 107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852057092",
            "telephone_number": "763-923-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERVENT CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-14",
        "status": "A",
        "authorized_official_last_name": "IGBINOBA",
        "authorized_official_first_name": "LUCKY",
        "authorized_official_middle_name": "IDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-723-1475"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Computer",
            "affiliation": "N",
            "endpointDescription": "Computer",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4225 E University Dr Apt 107",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852057092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Ferraro, R. PH.
• Melissa Ferrell, FNP-BC
• Lucia F. Ferreras-Cox, M.D.
• Rebecca Ferrin, LAC
• Nicole Lynn Ferschke, PA
• Lauren Nicole Fettis, BCBA
• Bethany Ann Fetzer, FNP-C
• Elizabeth Feweks
• Madeline Feyrer-Melk, DO
• Lora Elizabeth Fiala, CPM, LM

• Developmentally Disabled Services Day Training Agency in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Developmentally Disabled Services Day Training Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.