Active NPI
Blue Fountain I Home Care, LLC
- Assisted Living Facility
- Palm Bay, FL
National Provider Identifier
1013887033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- BLUE FOUNTAIN I HOME CARE, LLC
- Practice address
- 190 Enterprise Ave SE
Palm Bay, FL 32909-3968 - Phone
- (954) 559-3265
- Fax
- (321) 914-4069
- NPI assigned
- Nov 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Landry Francois
- Title
- Administrator
- Phone
- (954) 668-3006
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
190 Enterprise Ave SE
Palm Bay, FL 32909-3968
Mailing address
2440 Emerson Dr SE
Palm Bay, FL 32909-4972
Phone (954) 559-3265
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762300800000",
"number": "1013887033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2440 EMERSON DR SE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329094972",
"telephone_number": "954-559-3265",
"fax_number": "321-914-4069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 ENTERPRISE AVE SE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329093968",
"telephone_number": "954-559-3265",
"fax_number": "321-914-4069"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE FOUNTAIN I HOME CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-05",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A",
"authorized_official_last_name": "FRANCOIS",
"authorized_official_first_name": "LANDRY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "954-668-3006"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.