Fortune Health Care Services Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

FORTUNE HEALTH CARE SERVICES INC

Practice address

5903 Queen Anne St
Gwynn Oak, MD 21207-3918

Phone

(443) 985-2873

NPI assigned

Jul 20, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Bolaji Emmanuel Oladipupo, FCO

Title

Financial Controller

Phone

(443) 985-2873

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1942818653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5903 QUEEN ANNE ST",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212073918",
            "telephone_number": "443-985-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5903 QUEEN ANNE ST",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212073918",
            "telephone_number": "443-985-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTUNE HEALTH CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "OLADIPUPO",
        "authorized_official_first_name": "BOLAJI",
        "authorized_official_middle_name": "EMMANUEL",
        "authorized_official_title_or_position": "FINANCIAL CONTROLLER",
        "authorized_official_telephone_number": "443-985-2873",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FCO"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.