Fountain Family Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

044R0549 Issued in GA

Legal business name

FOUNTAIN FAMILY INC

Doing business as

Homewatch CareGivers Atlanta East

Practice address

457 Flat Shoals Ave SE
Atlanta, GA 30316-1962

Phone

(404) 521-0404

Fax

(404) 521-0403

NPI assigned

Apr 25, 2013

Last updated

Apr 25, 2013By 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

Jeffrey L Whitehouse

Title

President

Phone

(404) 521-0404

Specialties & licenses 1

Addresses

Other names 1

• Homewatch CareGivers Atlanta East Doing business as

Locations

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1447694088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 FLAT SHOALS AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161962",
            "telephone_number": "404-521-0404",
            "fax_number": "404-521-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 FLAT SHOALS AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161962",
            "telephone_number": "404-521-0404",
            "fax_number": "404-521-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN FAMILY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-25",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "WHITEHOUSE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-521-0404"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "044R0549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homewatch CareGivers Atlanta East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.