Person

Fatima Monique Johnson

Debarred entity

Born 5 Sep 1973 (53 years old),United States. Named in 5 sanctions listings.

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Summary

License number: 10040712

Sanctions and listings5

  • Effective
    20 Apr 2025

    Official designation

    Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded

    pa.gov

  • Effective
    20 Apr 2025

    List of Excluded Individuals/Entities (LEIE)

    Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States

    1128a1

    Programme US-HHS-OIGoig.hhs.govoig.hhs.gov

  • Effective
    17 Dec 2024

    Official designation

    Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded

    pa.gov

  • Effective
    20 Apr 2025

    Official designation

    Pennsylvania Department of Human ServicesUS Delaware Medicaid Sanctioned ProvidersUnited States

    medicaid.dhss.delaware.gov

  • Effective
    17 Dec 2024
    Ended
    17 Dec 2029

    Official designation

    Pennsylvania DePartment of Human ServicesUS Delaware Medicaid Sanctioned ProvidersUnited States

    medicaid.dhss.delaware.gov

Positions held2

  1. Period not retained

    DCW

  2. Period not retained

    PERSONAL CARE PROVID (INDIVIDUAL (UNAFFILI)

Identifiers1

IdentifierNumber
ID number10040712

Other names2

Also known as2

Fatima JohnsonFatima M. Johnson

Addresses2

  • 4748 RORER ST, PHILADELPHIA, PA 19120

  • Philadelphia, PA

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