Provider Demographics
NPI:1891679932
Name:FNN COMMUNITY SUPPORT SERVICES
Entity type:Organization
Organization Name:FNN COMMUNITY SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FATUMA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAGAMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-665-8067
Mailing Address - Street 1:6021 OTTERBEIN LN APT 209
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-7633
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6021 OTTERBEIN LN APT 209
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-7633
Practice Address - Country:US
Practice Address - Phone:410-417-7958
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health