Organization Active NPI

Blue Fountain I Home Care, LLC

  • Assisted Living Facility
  • Palm Bay, FL
National Provider Identifier
1013887033
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Nov 5, 2025

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.