Fountain Bleu Nursing & Rehabilitation Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FOUNTAIN BLEU NURSING & REHABILITATION CENTER INC

Practice address

19175 Anglin St
Detroit, MI 48234-1407

Phone

(313) 892-3600

NPI assigned

Sep 30, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Charles A Dunn

Title

President

Phone

(313) 255-2273

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1083864722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25440 5 MILE RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393881",
            "telephone_number": "313-255-2273",
            "fax_number": "313-255-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19175 ANGLIN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341407",
            "telephone_number": "313-892-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN BLEU NURSING & REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-255-2273",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Foster
• Kenneth Fosterbey, CPSS
• Dean David Fouchia, MD
• Valarie Egeria Foulks, M.A., LLPC
• Ayman Founas, D.O.
• Fountain of Love
• Cade Fountain
• Casion Monee Fountain
• Four Corners
• Four Seasons Home Health Care Inc

• Skilled Nursing Facility in Detroit, MI
• Providers in Detroit, MI by specialty
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.