Provider Demographics
NPI:1407747249
Name:FENTY HOMECARE LLC
Entity type:Organization
Organization Name:FENTY HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:TOREE
Authorized Official - Middle Name:
Authorized Official - Last Name:REDDING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-409-6030
Mailing Address - Street 1:15 ETOWAH TER SW APT 301
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30161-3041
Mailing Address - Country:US
Mailing Address - Phone:706-409-6030
Mailing Address - Fax:
Practice Address - Street 1:15 ETOWAH TER SW APT 301
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30161-3041
Practice Address - Country:US
Practice Address - Phone:706-409-6030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-10
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty