Fulton Home Care Services LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

FULTON HOME CARE SERVICES LLC

Practice address

2308 Fulton Way
Largo, FL 33774-1517

Phone

(727) 565-9029

NPI assigned

May 10, 2019

Last updated

May 10, 2019By 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

Mrs. Bertishia Lashanti MosleyNPI 1265918874

Title

Chief of Operations

Phone

(727) 565-9029

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bertishia Lashanti Mosley, CNA

  • Developmental Disabilities Clinic/Center
  • Largo, FL
  • NPI 1265918874
  NPD (past) Authorized official

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1588220073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 FULTON WAY",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337741517",
            "telephone_number": "727-565-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 FULTON WAY",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337741517",
            "telephone_number": "727-565-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-10",
        "last_updated": "2019-05-10",
        "status": "A",
        "authorized_official_last_name": "MOSLEY",
        "authorized_official_first_name": "BERTISHIA",
        "authorized_official_middle_name": "LASHANTI",
        "authorized_official_title_or_position": "CHIEF OF OPERATIONS",
        "authorized_official_telephone_number": "727-565-9029",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022971400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cary Franklin Frounfelter, COP
• Scott L. Fuchs, M.D.
• Agnes Fuerst, PA-C
• Maria Fuertes la-Rotta
• Courtney Fullen, OTR/L
• Sarah Funk, MS RD LD/N
• Future Optics Inc.
• G.R. Services Equipment & Supplies Inc.
• Kieran M Gabel
• Gabriel a Decandido PA

• Developmental Disabilities Clinic/Center in Largo, FL
• Providers in Largo, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.