Organization Active NPI

Fountain Palliative Care Corp

  • Home Health Agency
  • Vista, CA
National Provider Identifier
1437832375
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FOUNTAIN PALLIATIVE CARE CORP
Practice address
1920 Shadowridge Dr Ste 110
Vista, CA 92081-9008
Phone
(800) 241-4983
NPI assigned
Aug 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Authorized official

Name
Flor Mora
Title
Ceo
Phone
(760) 212-7978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1920 Shadowridge Dr Ste 110
Vista, CA 92081-9008

Mailing address

1920 Shadowridge Dr Ste 110
Vista, CA 92081-9008

National Provider Directory

National Provider Directory

Locations

2100 Garden Rd
Ste H2
Monterey, CA 93940
Phone (831) 649-1066

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1437832375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 SHADOWRIDGE DR STE 110",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920819008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 SHADOWRIDGE DR STE 110",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920819008",
            "telephone_number": "800-241-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN PALLIATIVE CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "MORA",
        "authorized_official_first_name": "FLOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-212-7978"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.