Active NPI
Fountain Health Services Inc.
- Community/Behavioral Health Agency
- Baltimore, MD
National Provider Identifier
1437880770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- FOUNTAIN HEALTH SERVICES INC.
- Practice address
- 330 W 24TH St Ste D
Baltimore, MD 21211-3216 - Phone
- (443) 525-2019
- Fax
- (410) 630-3600
- NPI assigned
- Jun 17, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Olanike K Osunnuyi
- Title
- Ceo
- Phone
- (443) 525-2019
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Rehabilitation Clinic/Center | 261QR0400X | |||
| Rehabilitation Hospital Unit | 273Y00000X |
Addresses
Primary practice location
330 W 24TH St Ste D
Baltimore, MD 21211-3216
Mailing address
1305 Sudvale Rd
Pikesville, MD 21208-4114
Phone (443) 525-2019
National Provider Directory
National Provider Directory- Tax ID family
- Fountain Health Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1477275642
Locations
330 W 24th St
Ste D
Baltimore, MD 21211
Phone (443) 525-2019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670457600000",
"number": "1437880770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 SUDVALE RD",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212084114",
"telephone_number": "443-525-2019",
"fax_number": "410-630-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 W 24TH ST STE D",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212113216",
"telephone_number": "443-525-2019",
"fax_number": "410-630-3600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUNTAIN HEALTH SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-17",
"last_updated": "2022-12-08",
"certification_date": "2022-12-08",
"status": "A",
"authorized_official_last_name": "OSUNNUYI",
"authorized_official_first_name": "OLANIKE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "443-525-2019"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "273Y00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Unit",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.