Fortune Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

011182 Issued in TX

Legal business name

FORTUNE HOME HEALTH CARE INC

Doing business as

Fortune Home Health

Practice address

12808 West Airport
Ste 222
Sugar Land, TX 77478

Phone

(281) 265-2643

Fax

(281) 265-3941

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Paul S Okpuzor, NA

Title

Administrator

Phone

(281) 265-2643

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fortune Home Health Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689891566. Details of each certification follow.

• CCN 679792 Home health agency · Active · Details

Home health agency certification: CCN 679792

Legal name

FORTUNE HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 15, 2008

Last certification

Feb 3, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Nov 15, 2005 in TX

Enrollment address

12808 West Airport Blvd
Suite 222
Sugarland, TX 77478

Listed as

Fortune Home Health, Inc.CCN 679792 · All quality measures

Ownership

Proprietary

Certified

Apr 15, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1689891566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12808 WEST AIRPORT",
            "address_2": "STE 222",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77478",
            "telephone_number": "281-265-2643",
            "fax_number": "281-265-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12808 WEST AIRPORT",
            "address_2": "STE 222",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77478",
            "telephone_number": "281-265-2643",
            "fax_number": "281-265-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTUNE HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "OKPUZOR",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-265-2643",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "011182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001017004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fortune Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.