Organization Active NPI

Fortunate Hands Health Care Services, LLC

  • Home Health Agency
  • Tyler, TX
National Provider Identifier
1710295712
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FORTUNATE HANDS HEALTH CARE SERVICES, LLC
Practice address
504 McCain Dr
Tyler, TX 75702-7846
Phone
(903) 617-6885
NPI assigned
Sep 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Authorized official

Name
Mrs. Rotonger Burns, RN
Title
Administrator
Phone
(903) 617-6885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

504 McCain Dr
Tyler, TX 75702-7846

Mailing address

504 McCain Dr
Tyler, TX 75702-7846
Phone (903) 617-6885

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1710295712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 MCCAIN DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757027846",
            "telephone_number": "903-617-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 MCCAIN DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757027846",
            "telephone_number": "903-617-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTUNATE HANDS HEALTH CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "ROTONGER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "903-617-6885",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.