Fab Enterprises LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

FAB ENTERPRISES LLC

Practice address

9356 Goodman Rd
Olive Branch, MS 38654-1700

Phone

(901) 596-1255

NPI assigned

May 8, 2023

Last updated

May 8, 2023By 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

Nicole Brown, LMSWNPI 1457872905

Title

Manager

Phone

(901) 596-1255

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole Brown

  • Social Worker
  • Marion, AR
  • NPI 1457872905
  NPD Authorized official

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1811687437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8995 BROOKHOLLOW DR",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386548362",
            "telephone_number": "901-596-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9356 GOODMAN RD",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386541700",
            "telephone_number": "901-596-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAB ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "901-596-1255",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Excellence Concierge Medicine LLC
• Exos Physical Therapy & Sports Medicine, LLC
• Exos Physical Therapy and Sports Medicine, LLC
• Eye Care Surgery Center of Olive Branch,LLC
• Eyedok LLC
• Fairuza Zan Trust
• Faith of a Mustard Seed Psychiatric Wellness, PLLC
• Blake Jordan Falconello, DPT
• Feel Good Health & Wellness LLC
• Amanda Ferguson, SLP

• Non-emergency Medical Transport (VAN) in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Non-emergency Medical Transport (VAN) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.