Fortune Healthcare Inc.

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

R3778 Issued in MD

Legal business name

FORTUNE HEALTHCARE INC.

Doing business as

Fortune Nursing and Therapy Services

Practice address

6321 Greenbelt Rd
Berwyn Heights, MD 20740-2352

Phone

(202) 714-7526

Fax

(301) 249-9627

NPI assigned

May 11, 2017

Last updated

May 11, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Obelebra Briggs

Title

Administrator/Ceo

Phone

(202) 714-7526

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Fortune Nursing and Therapy Services Doing business as

Locations

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1801322664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 GREENBELT RD",
            "city": "BERWYN HEIGHTS",
            "state": "MD",
            "postal_code": "207402352",
            "telephone_number": "202-714-7526",
            "fax_number": "301-249-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6321 GREENBELT RD",
            "city": "BERWYN HEIGHTS",
            "state": "MD",
            "postal_code": "207402352",
            "telephone_number": "202-714-7526",
            "fax_number": "301-249-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTUNE HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "BRIGGS",
        "authorized_official_first_name": "OBELEBRA",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "202-714-7526",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MD",
            "license": "R3778",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "4237609-00",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CFC/CO/CPAS",
            "identifier": "4237609-00",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENTIAL SERVICE AGENCY",
            "identifier": "R3778",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fortune Nursing and Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamal Fadul, M.D.
• Melvin Feldman, MD
• Harvey Fernbach, M.D.
• Emmanuel Abongwa Fokoum
• William Foncham III, LGPC
• Natoe L Goba, FNP-BC
• Abolghassem Masud Gohari, M.D.
• Kathleen M. Gonzalez, L.AC.
• Barry Allen Grant
• Greenbelt Medical Associates,LLC

• Nursing Care Agency in Berwyn Heights, MD
• Providers in Berwyn Heights, MD by specialty
• Nursing Care Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.