Fountain Health Centers, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

S0056 Issued in IA

Legal business name

FOUNTAIN HEALTH CENTERS, INC.

Doing business as

Heritage Court Assisted Living

Practice address

1499 Office Park Rd
West Des Moines, IA 50265-6500

Phone

(515) 223-1224

Fax

(515) 223-6345

NPI assigned

Dec 9, 2011

Last updated

Dec 9, 2011By 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

Daniel F Donohue

Title

Administrator

Phone

(515) 223-1223

Specialties & licenses 1

Addresses

Other names 1

• Heritage Court Assisted Living Doing business as

Locations

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1285902858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 OFFICE PARK RD",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502656500",
            "telephone_number": "515-223-1224",
            "fax_number": "515-223-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 OFFICE PARK RD",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502656500",
            "telephone_number": "515-223-1224",
            "fax_number": "515-223-6345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN HEALTH CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "DONOHUE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "515-223-1223"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Court Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy James Fordyce, D.C.
• Abi Lynn Fortsch, M.A., CFY-SLP
• Forward Path Wellness
• Bryan Foster, PA-C
• Kristina A Foster, PT, DPT
• Fountain Health Centers, Inc.
• Robert Joseph Foust, DDS
• Kristen Marie Fox, M.S. CCC/SLP
• Mark Herbert Fox, MD
• Foxglove Chiropractic LLC

• Assisted Living Facility in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Assisted Living Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.