Organization Active NPI

Fortunate Healthcare

  • Home Health Agency
  • Stratford, NJ
National Provider Identifier
1710602016
Registry record updated Dec 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FORTUNATE HEALTHCARE
Practice address
215 E Laurel Rd
Stratford, NJ 08084-1361
Phone
(609) 474-6674
NPI assigned
Oct 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2022

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

Authorized official

Name
Farah Desjardins, RN,BSN
Title
Ceo
Phone
(609) 474-4070

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X
Home Health Agency 251E00000X Primary
Home Infusion Agency 251F00000X
Nursing Care Agency 251J00000X
Inpatient Hospice 315D00000X
Non-emergency Medical Transport (VAN) 343900000X
Private Vehicle 347C00000X
Respite Care 385H00000X
Child Mental Illness Respite Care 385HR2055X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X
Child Physical Disabilities Respite Care 385HR2065X

Addresses

Primary practice location

215 E Laurel Rd
Stratford, NJ 08084-1361

Mailing address

215 E Laurel Rd
Stratford, NJ 08084-1361
Phone (609) 474-6674

Other names 1

  • Fortunate HealthCare Doing business as

National Provider Directory

National Provider Directory

Locations

215 E Laurel Rd
Stratford, NJ 08084
Phone (856) 262-8577

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670630400000",
    "number": "1710602016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E LAUREL RD",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841361",
            "telephone_number": "609-474-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E LAUREL RD",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841361",
            "telephone_number": "609-474-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTUNATE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-12-10",
        "certification_date": "2022-12-10",
        "status": "A",
        "authorized_official_last_name": "DESJARDINS",
        "authorized_official_first_name": "FARAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-474-4070",
        "authorized_official_credential": "RN,BSN"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fortunate HealthCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stratford, NJ

Sources for this page

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