Fodera Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FODERA CARE INC

Practice address

28 Harbor St Ste 205
Danvers, MA 01923-3382

Phone

(321) 482-9716

NPI assigned

Jun 12, 2024

Organization subpart

No

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

Authorized official

Name

Kait-Lynn Tombling

Title

President

Phone

(321) 482-9716

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1700628393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 HARBOR ST STE 205",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 HARBOR ST STE 205",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233382",
            "telephone_number": "321-482-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FODERA CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "TOMBLING",
        "authorized_official_first_name": "KAIT-LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-482-9716"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Marie Flynn, COTA/L
• Kelly Flynn
• Kristin M Flynn, PTA
• Staci L Flynn, PT
• Focus and Flow Wellness and Counseling
• Karleny Pergentino Foley
• Laurie Fontaine
• Rebecca Emily Fontaine, M.S., ED
• Candace Fonzi
• Foot and Ankle Clinic of Danvers, LLC

• Home Health Agency in Danvers, MA
• Providers in Danvers, MA by specialty
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.