Provider Demographics
NPI:1699342782
Name:FORTIUS HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:FORTIUS HOME HEALTH CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PRERAK
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSHI
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:346-843-2965
Mailing Address - Street 1:1235 LAKE POINTE PKWY STE 204
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4078
Mailing Address - Country:US
Mailing Address - Phone:346-843-2965
Mailing Address - Fax:346-843-3056
Practice Address - Street 1:1235 LAKE POINTE PKWY STE 204
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4078
Practice Address - Country:US
Practice Address - Phone:346-843-2965
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-07
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health