Active NPI
Fortunate Healthcare
- Home Health Agency
- Stratford, NJ
National Provider Identifier
1710602016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.