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
- Last updated
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Miramar, FL
- NPI 1184029753
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.