Provider Demographics
NPI:1285428938
Name:FONDNESS CARE LLC
Entity type:Organization
Organization Name:FONDNESS CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAQUISHA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:STRICKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-271-6952
Mailing Address - Street 1:338 BROADWAY ST STE 434
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63701-7367
Mailing Address - Country:US
Mailing Address - Phone:573-271-6952
Mailing Address - Fax:
Practice Address - Street 1:338 BROADWAY ST STE 434
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63701-7367
Practice Address - Country:US
Practice Address - Phone:573-271-6952
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care