Fortune Home Health, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

14120071 Issued in MD

Legal business name

FORTUNE HOME HEALTH, LLC

Practice address

6300 Heston Terrace
Suite a
Lanham, MD 20706-3075

Phone

(301) 357-1354

Fax

(240) 558-3483

NPI assigned

Sep 1, 2016

Last updated

Sep 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Paul J. Amara

Title

President/Ceo

Phone

(301) 357-1354

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1568918274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 HESTON TERRACE",
            "address_2": "SUITE A",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063075",
            "telephone_number": "301-357-1354",
            "fax_number": "240-558-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 HESTON TERRACE",
            "address_2": "SUITE A",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063075",
            "telephone_number": "301-357-1354",
            "fax_number": "240-558-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTUNE HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "AMARA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "301-357-1354",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MD",
            "license": "14120071",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MD",
            "license": "14120071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micah Forkum
• Frankline Forkwa
• Mercy Forlu
• Marita Atehakoh Formin, NP
• Fnu Forten Honorine Anyizie
• Shonna D Foster
• Beatrice Fotachwi
• Christian Dobgima Fotachwi
• Mathias Fotachwi
• Paulette Valerie Fouedjio

• In Home Supportive Care Agency in Lanham, MD
• Providers in Lanham, MD by specialty
• In Home Supportive Care Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.