NPIMap

Organization Active NPI

Fountain Health Care, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waldorf, MD
National Provider Identifier
1104740885
Registry record updated Aug 6, 2026
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
3235 Old Washington Rd Ste 1&2
Waldorf, MD 20602-3308
Phone
(410) 529-6015
NPI assigned
Aug 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Mr. Akinwumi Alao, MSC
Title
Ceo
Phone
(443) 529-6015

Specialties & licenses 1

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

Addresses

Primary practice location

3235 Old Washington Rd Ste 1&2
Waldorf, MD 20602-3308

Mailing address

3235 Old Washington Rd Ste 1&2
Waldorf, MD 20602-3308
Phone (410) 529-6015

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.

NPI Registry JSON

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

{
    "created_epoch": "1785974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1104740885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 OLD WASHINGTON RD STE 1&2",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023308",
            "telephone_number": "410-529-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 OLD WASHINGTON RD STE 1&2",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023308",
            "telephone_number": "410-529-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-06",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "ALAO",
        "authorized_official_first_name": "AKINWUMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-529-6015",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSC"
    },
    "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": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.