Fountain of Grace Home Care Inc.

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

FOUNTAIN OF GRACE HOME CARE INC.

Practice address

13125 Hastinhs Street NE
Blaine, MN 55449

Phone

(763) 413-7200

Fax

(763) 413-7379

NPI assigned

Nov 11, 2008

Organization subpart

No

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

Authorized official

Name

Elizabeth Ewumi

Title

Program Director

Phone

(763) 413-7200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1194979658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21067 TAYLOR ST NE",
            "city": "EAST BETHEL",
            "state": "MN",
            "postal_code": "550114759",
            "telephone_number": "763-413-7200",
            "fax_number": "763-413-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13125 HASTINHS STREET NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "55449",
            "telephone_number": "763-413-7200",
            "fax_number": "763-413-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN OF GRACE HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "EWUMI",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "763-413-7200"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Megan Francisco, DPT
• Carol Elizabeth Franzel
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• Sarit Fraundorf
• Taylor J Freetly, MD

• Foster Care Agency in Blaine, MN
• Providers in Blaine, MN by specialty
• Foster Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.