Organization Active NPI

Lady of Fatima Health Services Inc.

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1972838803
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jun 20, 2023

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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.CCN 398253 ยท All quality measures
Ownership
Proprietary
Certified
Jun 23, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Ahmed B Kamara Individual Corporate OfficerSecretary of Governing Board Apr 18, 2008
Corporate DirectorSecretary Governing Board Apr 18, 2008
W-2 Managing EmployeeHuman Resource Manager Apr 18, 2008
Ibrahim Hassan Individual Corporate DirectorBoard Member Apr 18, 2008
Fatama B Turray Individual 5% Or Greater Direct Ownership InterestOwner Apr 18, 2008 100%
Corporate OfficerPresident Governing Board Apr 18, 2008
Corporate DirectorPresident Governing Board Apr 18, 2008
W-2 Managing EmployeeAdministrator / President Apr 18, 2008
Amara D Turay Individual Corporate OfficerVice President Governing Board Apr 18, 2008
Corporate DirectorVice President Governing Board 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

Verify at the official NPI Registry.