Organization Active NPI

Fountain Home Health Inc

  • Home Health Agency
  • Phoenix, AZ
National Provider Identifier
1497990634
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FOUNTAIN HOME HEALTH INC
Practice address
15820 N 35TH Ave Ste 28
Phoenix, AZ 85053-7607
Phone
(602) 548-1818
Fax
(602) 545-1819
NPI assigned
Dec 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Authorized official

Name
Gabriel Khachakyan
Title
Owner
Phone
(602) 548-1818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

15820 N 35TH Ave Ste 28
Phoenix, AZ 85053-7607

Mailing address

15820 N 35TH Ave Ste 28
Phoenix, AZ 85053-7607
Phone (602) 548-1818

National Provider Directory

National Provider Directory

Locations

15820 N 35th Ave
Ste 28
Phoenix, AZ 85053
Phone (602) 548-1818

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1497990634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15820 N 35TH AVE STE 28",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850537607",
            "telephone_number": "602-548-1818",
            "fax_number": "602-545-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15820 N 35TH AVE STE 28",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850537607",
            "telephone_number": "602-548-1818",
            "fax_number": "602-545-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "KHACHAKYAN",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-548-1818"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.