Organization Active NPI

Fountain Health Group, LLC

  • Home Health Agency
  • Grand Rapids, MI
National Provider Identifier
1053262352
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FOUNTAIN HEALTH GROUP, LLC
Practice address
3200 Eagle Park Dr NE Ste 104
Grand Rapids, MI 49525-7057
Phone
(616) 288-1282
Fax
(616) 288-1784
NPI assigned
Feb 4, 2026
Last updated
Feb 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Authorized official

Name
Mr. Eric S Smith
Title
Owner
Phone
(616) 799-9337

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Home Infusion Agency 251F00000X NU
Nursing Care Agency 251J00000X NU
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

3200 Eagle Park Dr NE Ste 104
Grand Rapids, MI 49525-7057

Mailing address

3200 Eagle Park Dr NE Ste 104
Grand Rapids, MI 49525-7057
Phone (616) 288-1282

National Provider Directory

National Provider Directory

Locations

3200 Eagle Park Dr NE
Ste 104
Grand Rapids, MI 49525
Phone (616) 288-1282

NPI Registry JSON

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

{
    "created_epoch": "1770163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1053262352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 EAGLE PARK DR NE STE 104",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257057",
            "telephone_number": "616-288-1282",
            "fax_number": "616-288-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 EAGLE PARK DR NE STE 104",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257057",
            "telephone_number": "616-288-1282",
            "fax_number": "616-288-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN HEALTH GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-04",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-799-9337",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.