Organization Active NPI

Fortune Ventures 168 LLC

  • In Home Supportive Care Agency
  • Kensington, MD
National Provider Identifier
1902669658
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FORTUNE VENTURES 168 LLC
Practice address
10410 Kensington Pkwy Ste 113
Kensington, MD 20895-2950
Phone
(240) 296-2330
NPI assigned
Feb 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Maria Jomalesa
Title
Nursing Director
Phone
(302) 202-9880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

10410 Kensington Pkwy Ste 113
Kensington, MD 20895-2950

Mailing address

10410 Kensington Pkwy Ste 113
Kensington, MD 20895-2950
Phone (240) 296-2330

Other practice location 1

3701 Kennett Pike Ste 400
Greenville, DE 19807-2162
Phone (302) 202-9880

Other names 1

  • NURTURING ANGELS HOME CARE Doing business as

National Provider Directory

National Provider Directory

Locations

3701 Kennett Pike
Ste 400
Greenville, DE 19807
Phone (302) 202-9880

10410 Kensington Pkwy
Ste 113
Kensington, MD 20895
Phone (202) 725-3698

NPI Registry JSON

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1902669658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10410 KENSINGTON PKWY STE 113",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952950",
            "telephone_number": "240-296-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10410 KENSINGTON PKWY STE 113",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952950",
            "telephone_number": "240-296-2330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3701 Kennett Pike Ste 400",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "DE",
            "postal_code": "198072162",
            "country_code": "US",
            "telephone_number": "302-202-9880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FORTUNE VENTURES 168 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "JOMALESA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "NURSING DIRECTOR",
        "authorized_official_telephone_number": "302-202-9880"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NURTURING ANGELS HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kensington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.