FUNDAMENTUM LLC
NPI 1548025075
Registered Nurse - Home Health in Mesa, AZ

Q: What is Fundamentum LLC's NPI number?

The NPI number for Fundamentum LLC is 1548025075. It was assigned to this organization in the NPPES registry on February 14, 2024.

Q: What is Fundamentum LLC's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Home Health, with taxonomy code 163WH0200X.

Q: When was this NPI record last updated?

The NPPES record for Fundamentum LLC was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 14, 2024

5830 E MCKELLIPS RD UNIT 49, MESA, AZ 85215(480) 652-6532 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Fundamentum Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FUNDAMENTUM LLC (NPI 1548025075) is a healthcare organization registered as a home health in Mesa, Arizona and active in the NPI registry since February 2024. The organization lists Susan Andazola, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1548025075

Entity TypeOrganization

Primary Taxonomy163WH0200X

Legal Business NameFUNDAMENTUM LLC

Location Address5830 E MCKELLIPS RD UNIT 49Mesa, AZ 85215-2784

Mailing Address5830 E Mckellips Rd Unit 49Mesa, AZ 85215-2784 · (480) 652-6532

Phone(480) 652-6532

Organization SubpartNo

Authorized OfficialSusan AndazolaDirector Of Operations · (480) 450-0847

Enumeration DateFebruary 14, 2024

Last NPPES UpdateMarch 4, 2024

NPPES CertifiedMarch 4, 2024

✔ NPI 1548025075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Home HealthNursing Service Providers

Taxonomy Code163WH0200X

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

5830 E MCKELLIPS RD UNIT 49, Mesa, AZ 85215

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fundamentum LLC's NPI number?

The NPI number for Fundamentum LLC is 1548025075. It was assigned to this organization in the NPPES registry on February 14, 2024.

Where is Fundamentum LLC located?

Fundamentum LLC is located at 5830 E Mckellips Rd Unit 49, Mesa, AZ 85215. The listed phone number is (480) 652-6532.

What is Fundamentum LLC's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Home Health, with taxonomy code 163WH0200X.

When was this NPI record last updated?

The NPPES record for Fundamentum LLC was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.