| Organization Name: | FAST FORWARD COMMUNITY CARE SERVICES, INC. |
| NPI Number: | 1932451499 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HOLLI Y. CLAYBORN (PRESIDENT) |
| Mailing Address: | 3909 Cuming St Ste 203 Omaha |
| State: | NE US |
| Postal Code: | 681311225 |
| Phone Number: | 4029534183 |
| Fax Number: | 8884383351 |
| NPI Enumeration Date: | 10/09/2012 |
| NPI Last Update Date: | 02/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |