Fadli Home Care Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FADLI HOME CARE INC

Doing business as

Fadli home care

Practice address

305 W 22ND St
Tracy, CA 95376-2537

Phone

(650) 834-5052

NPI assigned

Aug 21, 2024

Organization subpart

No

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

Authorized official

Name

Emad Abdelhalim Fadli

Title

Owner

Phone

(650) 834-5052

Specialties & licenses 1

Addresses

Other names 1

• Fadli home care Doing business as

Locations

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1457184996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 GENEVA AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941123403",
            "telephone_number": "650-834-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W 22ND ST",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953762537",
            "telephone_number": "650-834-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FADLI HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "FADLI",
        "authorized_official_first_name": "EMAD",
        "authorized_official_middle_name": "ABDELHALIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-834-5052"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fadli home care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Etcheverry
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• Maja Michelle Everson, MD
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• Patrick Victor Faggianelli Jr., PH.D.
• Maria Faheem
• Faith Enterprises, Inc (Tracy Convalescent and Rehabilitation Center)
• Amanie Falol
• Family Optometry of Tracy Inc

• In Home Supportive Care Agency in Tracy, CA
• Providers in Tracy, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.