Organization Active NPI

Fima, LLC

  • In Home Supportive Care Agency
  • Dacula, GA
National Provider Identifier
1962265975
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FIMA, LLC
Practice address
2837 Dolostone Way
Dacula, GA 30019-7661
Phone
(470) 882-3087
NPI assigned
Feb 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Koyanfig Kouyate
Title
Owner
Phone
(470) 882-3087

Specialties & licenses 1

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

Addresses

Primary practice location

2837 Dolostone Way
Dacula, GA 30019-7661

Mailing address

2837 Dolostone Way
Dacula, GA 30019-7661
Phone (470) 882-3087

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1962265975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2837 DOLOSTONE WAY",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197661",
            "telephone_number": "470-882-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2837 DOLOSTONE WAY",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197661",
            "telephone_number": "470-882-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "KOUYATE",
        "authorized_official_first_name": "KOYANFIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-882-3087"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.