NPIMap

Organization Active NPI

Fountain Health Care, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1023856580
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
FOUNTAIN HEALTH CARE, LLC
Practice address
5202 Baltimore National Pike Ste 103&104
Baltimore, MD 21229-1022
Phone
(443) 529-6015
NPI assigned
Jul 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Akinwumi Alao, MSC, PMPNPI 1790562734
Title
Ceo
Phone
(301) 256-6624

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5202 Baltimore National Pike Ste 103&104
Baltimore, MD 21229-1022

Mailing address

5202 Baltimore National Pike
Suite 103 & 104
Baltimore, MD 21229-1022
Phone (443) 529-6015

Other names 1

  • Unity Healthcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fountain Health Care LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5202 Baltimore National Pike
Ste 103
Baltimore, MD 21229
Phone (301) 256-6624

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1023856580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 BALTIMORE NATIONAL PIKE",
            "address_2": "SUITE 103 & 104",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212291022",
            "telephone_number": "443-529-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 BALTIMORE NATIONAL PIKE STE 103&104",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212291022",
            "telephone_number": "443-529-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "ALAO",
        "authorized_official_first_name": "AKINWUMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-256-6624",
        "authorized_official_credential": "MSC, PMP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unity Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Unity Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.