Organization Active NPI

Fountain Al LLC

  • Assisted Living Facility
  • Burlington, NJ
National Provider Identifier
1003799172
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FOUNTAIN AL LLC
Practice address
902 Jacksonville Rd
Burlington, NJ 08016-3858
Phone
(609) 239-3900
NPI assigned
Jul 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mindee Posen
Title
Medicare Administration Officer
Phone
(845) 825-2217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

902 Jacksonville Rd
Burlington, NJ 08016-3858

Mailing address

902 Jacksonville Rd
Burlington, NJ 08016-3858

Other names 1

  • The Terraces at Masonic Village Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1003799172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 JACKSONVILLE RD",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080163858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 JACKSONVILLE RD",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080163858",
            "telephone_number": "609-239-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN AL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-28",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "POSEN",
        "authorized_official_first_name": "MINDEE",
        "authorized_official_title_or_position": "MEDICARE ADMINISTRATION OFFICER",
        "authorized_official_telephone_number": "845-825-2217"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Terraces at Masonic Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.