Fortune Healthcare Systems LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

FORTUNE HEALTHCARE SYSTEMS LLC

Practice address

5121 Garfield St
La Mesa, CA 91941-5103

Phone

(619) 439-6759

Fax

(619) 639-9000

NPI assigned

Apr 15, 2021

Organization subpart

No

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

Authorized official

Name

Sue C Fortuno

Title

Ceo/Secretary/Administrator/Board M

Phone

(619) 439-6759

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1548841109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 GARFIELD ST",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919415103",
            "telephone_number": "619-439-6759",
            "fax_number": "619-639-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 GARFIELD ST",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919415103",
            "telephone_number": "619-439-6759",
            "fax_number": "619-639-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTUNE HEALTHCARE SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "FORTUNO",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO/SECRETARY/ADMINISTRATOR/BOARD M",
        "authorized_official_telephone_number": "619-439-6759"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Flores, MSW
• Stefanie Flory, OTR/L
• Alicia Kim Fogt
• Gary Fong, PHARMD
• Lucas Rico Fonzi, LPCC
• Robert W Foster, MD
• Shannyn I Fowl, N.D.
• Carla G. Fox, M.D.
• Dale Fox, MD
• John W. Fox Jr., M.D.

• Community Based Hospice Care Agency in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.