Active NPI
Lady of Fatima Health Services Inc.
- Home Health Agency
- Philadelphia, PA
National Provider Identifier
1972838803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LADY OF FATIMA HEALTH SERVICES INC.
- Practice address
- 6122 Torresdale Ave
Philadelphia, PA 19135-3718 - Phone
- (215) 558-2580
- Fax
- (215) 558-2585
- NPI assigned
- Oct 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Fatmata Turray, REGISTERED NURSE
- Title
- Ceo
- Phone
- (267) 475-5403
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
6122 Torresdale Ave
Philadelphia, PA 19135-3718
Mailing address
6122 Torresdale Ave
Philadelphia, PA 19135-3718
Phone (215) 558-2580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140527000407 | PA | Part A Provider - Home Health Agency | 9638392376 | Practice locations: Philadelphia, PA |
Home health agency certification: CCN 398253
- Legal name
- LADY OF FATIMA HEALTH SERVICES INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 23, 2016
- Last certification
- Jun 24, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Apr 18, 2008 in PA
- Enrollment address
- 6122 Torresdale Ave
Philadelphia, PA 19135-3718
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Lady of Fatima Health Services, Inc.
- Ownership
- Proprietary
- Certified
- Jun 23, 2016
- Medicare certification status
- Active
- Services
- Nursing
National Provider Directory
National Provider DirectoryLocations
1335 W Tabor Rd
Ste 303
Philadelphia, PA 19141
6122 Torresdale Ave
Philadelphia, PA 19135
Phone (215) 338-6677
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Ahmed B Kamara | Corporate Officer | Apr 18, 2008 | |
| Corporate Director | Apr 18, 2008 | ||
| W-2 Managing Employee | Apr 18, 2008 | ||
| Ibrahim Hassan | Corporate Director | Apr 18, 2008 | |
| Fatama B Turray | 5% Or Greater Direct Ownership Interest | Apr 18, 2008 | 100% |
| Corporate Officer | Apr 18, 2008 | ||
| Corporate Director | Apr 18, 2008 | ||
| W-2 Managing Employee | Apr 18, 2008 | ||
| Amara D Turay | Corporate Officer | Apr 18, 2008 | |
| Corporate Director | Apr 18, 2008 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687219200000",
"number": "1972838803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6122 TORRESDALE AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191353718",
"telephone_number": "215-558-2580",
"fax_number": "215-558-2585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6122 TORRESDALE AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191353718",
"telephone_number": "215-558-2580",
"fax_number": "215-558-2585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LADY OF FATIMA HEALTH SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-09",
"last_updated": "2023-06-20",
"certification_date": "2023-06-07",
"status": "A",
"authorized_official_last_name": "TURRAY",
"authorized_official_first_name": "FATMATA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "267-475-5403",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "REGISTERED NURSE"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.