Fountain Hope and Health for Youth

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FOUNTAIN HOPE AND HEALTH FOR YOUTH

Practice address

2930 W Imperial Hwy
510
Inglewood, CA 90303-3143

Phone

(323) 755-5632

Fax

(323) 755-5630

NPI assigned

May 25, 2012

Last updated

May 25, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abraham Wale Jimoh

Title

Executive Director

Phone

(323) 755-5632

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Fountain Hope and Health for Youth2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Fountain Hope & Help for Youth

  • Health Maintenance Organization
  • Inglewood, CA
  • NPI 1871825869
  NPD tax ID

Locations

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1073873915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 W IMPERIAL HWY",
            "address_2": "510",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903033143",
            "telephone_number": "323-755-5632",
            "fax_number": "323-755-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 W IMPERIAL HWY",
            "address_2": "510",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903033143",
            "telephone_number": "323-755-5632",
            "fax_number": "323-755-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN HOPE AND HEALTH FOR YOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "JIMOH",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_middle_name": "WALE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "323-755-5632"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "0000000000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Fong
• Foresters Medical Supply
• Scott Forrest
• Junior Forbes Fortune, P.A
• Fountain Hope & Help for Youth
• Fox Hills Pharmacy Inc (Multicare Pharmacy)
• Theresa Alice Francis, BACHELORS DEGREE
• Phillip S Frankel, M.D.
• Anastasia Fransisca, AGPCNP-C
• Gordon Cleland Fraser, MD

• Community/Behavioral Health Agency in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.