Fountain of Hope L.L.C.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

FOUNTAIN OF HOPE L.L.C.

Doing business as

Fountain of Hope Family Services

Practice address

268 Delta Waters St
Henderson, NV 89074-8712

Phone

(725) 400-4098

Fax

(725) 605-5874

NPI assigned

Oct 12, 2018

Organization subpart

No

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

Authorized official

Name

Shyndona Young

Title

Ceo

Phone

(725) 400-4098

Specialties & licenses 1

Addresses

Other names 1

• Fountain of Hope Family Services Doing business as

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559520000000",
    "number": "1386119683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 DELTA WATERS ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748712",
            "telephone_number": "725-400-4098",
            "fax_number": "725-605-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 DELTA WATERS ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748712",
            "telephone_number": "725-400-4098",
            "fax_number": "725-605-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN OF HOPE L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-12",
        "last_updated": "2019-06-03",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SHYNDONA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "725-400-4098"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fountain of Hope Family Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fountain of Hope Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George D Foster, MD
• Mary B. Foster, APRN
• Stephen Charles Foster, MS
• Fostering Growth, LLC
• Kristina Foti, APRN
• Ryan James Fountain
• Four Hearts Healthcare Solutions LLC
• Four Hearts Healthcare Solutions LLC
• Four Leaf Counseling and Consulting
• Barton Humphries Foutz, D.D.S.

• Mental Illness Community Based Residential Treatment Facility in Henderson, NV
• Providers in Henderson, NV by specialty
• Mental Illness Community Based Residential Treatment Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.