Fountainbleau Nursing Center

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

032222 Issued in MO

Legal business name

FOUNTAINBLEAU NURSING CENTER

Practice address

1349 US Highway 61
Festus, MO 63028-4107

Phone

(636) 937-3500

Fax

(636) 931-2646

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Shafiq M Malik

Title

President

Phone

(573) 335-3044

Specialties & licenses 1

Addresses

Other names 1

• Malik Corp. Fountainbleau Nursing Center Doing business as

Tax ID family

Fountainbleau Nursing Center2 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.

• Malik Corporation

  • Skilled Nursing Facility
  • Festus, MO
  • NPI 1356342695
  NPD tax ID

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285752899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2732 BLOOMFIELD RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036302",
            "telephone_number": "573-335-3044",
            "fax_number": "573-335-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 US HIGHWAY 61",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284107",
            "telephone_number": "636-937-3500",
            "fax_number": "636-931-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAINBLEAU NURSING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "SHAFIQ",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-335-3044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "032222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Malik Corp. Fountainbleau Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy M Fitzpatrick
• Zachary Fletcher, DO
• Justin Nicholas Flippin
• Elka Follmer
• Martial Fotso, MD
• Lauren Amanda Keely Fox
• Anna Frank, MS SLP CCC
• Alexandria Kate Frazier
• Freedom of Speech Therapy LLC
• Charles G. Freeman, M.D.

• Assisted Living Facility in Festus, MO
• Providers in Festus, MO by specialty
• Assisted Living Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.