Organization · NPI-2

Fortunate Homes LLC

Home Health · Maple Grove, MN

NPI number1821809336
StatusActive
Last updated in NPPESJan 15, 2025

Details

NPI
1821809336
Entity type
Organization (NPI-2)
Legal business name
Fortunate Homes LLC
Organization subpart
No
Enumeration date
Jan 15, 2025
Certification date
Jan 15, 2025
Last updated
Jan 15, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes
251B00000X Case Management––
251J00000X Nursing Care––

Other names

  • Fortunate Pca Services (Doing Business As)

Practice location

7006 E Fish Lake Rd
Maple Grove, MN 55311-2832

Phone 952-994-5356

Mailing address

7006 E Fish Lake Rd
Maple Grove, MN 55311-2832

Phone 952-994-5356

Authorized official

Susan Nyang'Anyi Obwaya
Ceo/Director
9529945356

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Home Health providers in Maple Grove, MN