NPIMap

Organization Active NPI

Fitsam International Homecare LLC

  • Supports Brokerage Agency
  • Mansfield, TX
National Provider Identifier
1700523842
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
Legal business name
FITSAM INTERNATIONAL HOMECARE LLC
Practice address
1803 Graham Way
Mansfield, TX 76063-5652
Phone
(469) 856-0385
NPI assigned
May 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Dayo Oluwaseun KolawoleNPI 1073167037
Title
Manager
Phone
(469) 856-0385

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Supports Brokerage Agency 251X00000X Primary

Addresses

Primary practice location

1803 Graham Way
Mansfield, TX 76063-5652

Mailing address

1803 Graham Way
Mansfield, TX 76063-5652
Phone (469) 856-0385

Other names 1

  • Fitsam International Homecare LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1700523842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 GRAHAM WAY",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635652",
            "telephone_number": "469-856-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 GRAHAM WAY",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635652",
            "telephone_number": "469-856-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITSAM INTERNATIONAL HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "KOLAWOLE",
        "authorized_official_first_name": "DAYO",
        "authorized_official_middle_name": "OLUWASEUN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-856-0385"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fitsam International Homecare LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.