Fom Industries, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FOM INDUSTRIES, LLC

Practice address

2064 Oedipus Dr
San Antonio, TX 78245-7700

Phone

(210) 788-6948

NPI assigned

Mar 18, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Jose F Gonzalez

Title

Ceo

Phone

(978) 245-6699

Specialties & licenses 3

Addresses

Other names 1

• FOM Industries Doing business as

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1952160525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2064 OEDIPUS DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782457700",
            "telephone_number": "210-788-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2064 OEDIPUS DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782457700",
            "telephone_number": "210-788-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOM INDUSTRIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-16",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-245-6699",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOM Industries",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jill Leanne Folkert, NP
• Sara Frances Folmar, FNP
• Chelsea Folts
• Alyssa Danielle Foltz, DO
• Pamela Ann Foltz, RRT
• Ephraim Tata Fombo, PMHNP-BC
• Ivan Fomitchev, M.D.
• Gloria D. Fondren, M.A., LPC, LSOTP
• Yordanis Rafael Fonseca Vega
• Carol Ann Fonseca, PH.D., LP

• Home Health Agency in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.