Fountains of Richmond, LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

FOUNTAINS OF RICHMOND, LLC

Doing business as

Fountains of Richmond, LLC

Practice address

7103 S Peek Rd Ste 300B
Richmond, TX 77407-3770

Phone

(346) 560-7080

Fax

(346) 560-7081

NPI assigned

Oct 18, 2024

Last updated

Dec 20, 2024By 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

George Wade Phillips

Title

Owner

Phone

(346) 560-7080

Specialties & licenses 2

Addresses

Other names 1

• Fountains of Richmond, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cidnea Ellen Baskinger, APRN, AGNP-C

  • Primary Care Nurse Practitioner
  • Sugar Land, TX
  • NPI 1649066507
  Medicare reassignment Care Compare group NPD
• Mallory Elizabeth Boggs, A-GNP-C

  • Primary Care Nurse Practitioner
  • Madison, MS
  • NPI 1013543388

  TX

  Medicare reassignment Care Compare group NPD
• Ambrose Campbell, MD

  • Emergency Medicine Physician
  • Pascagoula, MS
  • NPI 1669903969

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1336960749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7103 S PEEK RD STE 300B",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774073770",
            "telephone_number": "346-560-7080",
            "fax_number": "346-560-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7103 S PEEK RD STE 300B",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774073770",
            "telephone_number": "346-560-7080",
            "fax_number": "346-560-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAINS OF RICHMOND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-560-7080"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fountains of Richmond, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fountains of Richmond, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Francis Healthcare Services Inc.
• Francis Healthcare Services, Inc
• Leelamma Francis, N.P

• Infusion Therapy Clinic/Center in Richmond, TX
• Providers in Richmond, TX by specialty
• Infusion Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.