Provider Demographics
NPI:1154195402
Name:FATASHHEALTHCARE LIMITED LIABILITY COMPANY
Entity type:Organization
Organization Name:FATASHHEALTHCARE LIMITED LIABILITY COMPANY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:FATI
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:862-588-8065
Mailing Address - Street 1:2123 S 61ST ST # A
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76504-6823
Mailing Address - Country:US
Mailing Address - Phone:862-588-8065
Mailing Address - Fax:
Practice Address - Street 1:2123 S 61ST ST # A
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-6823
Practice Address - Country:US
Practice Address - Phone:862-588-8065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-08
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty