Fundamentum Llc

LBN: Fundamentum Llc
Fundamentum Llc is an health care organization with primary practice located at 5830 E Mckellips Rd Unit 49 , Mesa AZ 85215-2784. The organization recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Home Health, Agencies / In Home Supportive Care. Nursing Service Providers / Home Health is the primary health care specialty. Fundamentum Llc can be contacted via phone (480) 652-6532, or through Andazola, Susan via phone (480) 450-0847.

Contact Information

Primary practice address
5830 E Mckellips Rd Unit 49 Mesa AZ 85215-2784
Phone: (480) 652-6532
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Andazola, Susan
Phone: (480) 450-0847

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1548025075
LBN Legal business name Fundamentum Llc
DBA Doing business as
Authorized official Andazola, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2024
Last updated Mar 4th, 2024 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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