Organization Active NPI

Fountain of Love

  • Foster Care Agency
  • Detroit, MI
National Provider Identifier
1417560269
Registry record updated Aug 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
FOUNTAIN OF LOVE
Practice address
2140 Dickerson St
Detroit, MI 48215-2640
Phone
(313) 543-4480
NPI assigned
Aug 30, 2020
Organization subpart
Yes
Parent organization
GLOBAL PRECISION INVESTMENT GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 30, 2020

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

Authorized official

Name
Ms. Tamika BurnetteNPI 1346853199
Title
Health Care Worker
Phone
(313) 543-4480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X Primary

Addresses

Primary practice location

2140 Dickerson St
Detroit, MI 48215-2640

Mailing address

307 Mandy Rose Trce
Stockbridge, GA 30281-2353
Phone (313) 543-4480

Other names 1

  • Fountain of Love Doing business as

National Provider Directory

National Provider Directory
Part of
Fountain of Love

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598745600000",
    "number": "1417560269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 MANDY ROSE TRCE",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302812353",
            "telephone_number": "313-543-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 DICKERSON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152640",
            "telephone_number": "313-543-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN OF LOVE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GLOBAL PRECISION INVESTMENT GROUP LLC",
        "enumeration_date": "2020-08-30",
        "last_updated": "2020-08-30",
        "certification_date": "2020-08-30",
        "status": "A",
        "authorized_official_last_name": "BURNETTE",
        "authorized_official_first_name": "TAMIKA",
        "authorized_official_title_or_position": "HEALTH CARE WORKER",
        "authorized_official_telephone_number": "313-543-4480",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fountain of Love",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.