Fountain of Life Healing Home Health LP

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

010933 Issued in TX

Legal business name

FOUNTAIN OF LIFE HEALING HOME HEALTH LP

Doing business as

Fountain of Life Home Health, LP

Practice address

21779 Hinojosa Rd
Edinburg, TX 78541-5065

Phone

(956) 720-4139

Fax

(956) 720-4167

NPI assigned

Sep 11, 2006

Last updated

May 6, 2015By 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

Mr. Gary Bryan Cranford

Title

Administrator/Owner

Phone

(956) 720-4139

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fountain of Life Home Health, LP Doing business as

Locations

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1467556654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 N 10TH ST # 269",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042835",
            "telephone_number": "956-720-4139",
            "fax_number": "956-720-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21779 HINOJOSA RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785415065",
            "telephone_number": "956-720-4139",
            "fax_number": "956-720-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN OF LIFE HEALING HOME HEALTH LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "CRANFORD",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "956-720-4139",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fountain of Life Home Health, LP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gustavo Enrique Fors Rodriguez, MD
• Robert Armour Forse, M.D.,PH.D.
• Fortified Minds Psychiatry PLLC
• Derrick Anthony Foster, PHARM.D., RPH, B.S.
• Myron Foster
• Aislen Yvette Fox, DDS
• Scott Steven-Flynn Foxworth, PA-C
• Ricardo Franco
• Raymond Charles Franklin, PA
• Robert B. Fraser, DC

• Home Health Agency in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.