Fountain of Youth Adult Day Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

FOUNTAIN OF YOUTH ADULT DAY CENTER

Practice address

700 Sibley St
Hammond, IN 46320-1635

Phone

(708) 970-9475

NPI assigned

Aug 16, 2023

Last updated

Aug 16, 2023By 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

Mrs. Jasmeka Collins

Title

Director

Phone

(708) 970-9475

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1093598633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 W 153RD PL",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604731007",
            "telephone_number": "708-970-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SIBLEY ST",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463201635",
            "telephone_number": "708-970-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN OF YOUTH ADULT DAY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "JASMEKA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-970-9475",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foot & Ankle Health Care Center LTD
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• Vanessa R Foster, M.D.
• Kwame G. Foucher, M.D.
• Casey Fougerousse, MS, ATC
• Gregory T. Fragakis, AU.D., FAAA
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• Franciscan St. Margaret Health

• Adult Day Care Clinic/Center in Hammond, IN
• Providers in Hammond, IN by specialty
• Adult Day Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.