Foundations of Change

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

NV20101336776 Issued in NV

Legal business name

FOUNDATIONS OF CHANGE

Practice address

7468 Easingwold Dr
Las Vegas, NV 89113-3203

Phone

(702) 991-3933

NPI assigned

Sep 16, 2010

Last updated

Sep 16, 2010By 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

Mrs. Henriella Davis

Title

Owner

Phone

(702) 991-3933

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1346558913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 SAINT ROSE PKWY",
            "address_2": "SUITE 213",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524840",
            "telephone_number": "702-991-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7468 EASINGWOLD DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133203",
            "telephone_number": "702-991-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS OF CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "HENRIELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-991-3933",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20101336776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foundation of Change LLC
• Foundation of Faith
• Foundations
• Foundations First Therapy, Inc
• Foundations for Thought, PLLC
• Founders Healthcare, LLC (Preferred Homecare)
• Founders Healthcare, LLC
• Fountain of Hope LLC (Fountain of Hope Personal Care)
• Lashune Fountain-Peterson
• Aja Fountain

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.