Fountain Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

665509 Issued in TX

Legal business name

FOUNTAIN CARE INC

Doing business as

Fountain Home Health

Practice address

9127 Magnolia VW
Houston, TX 77099-6405

Phone

(281) 575-9505

Fax

(281) 495-0462

NPI assigned

May 9, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Mutiat Olatundun Lawal

Title

Director of Nursing / Administrator

Phone

(281) 575-9505

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FOUNTAIN HOME HEALTH Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 679479

Legal name

FOUNTAIN CARE INC

Doing business as

FOUNTAIN HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 19, 2004

Last certification

Apr 9, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 11, 2003 in TX

Enrollment address

9127 Magnolia View
Houston, TX 77099-6405

Listed as

Fountain Home HealthCCN 679479 · All quality measures

Ownership

Proprietary

Certified

May 19, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1558310284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9127 MAGNOLIA VW",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770996405",
            "telephone_number": "281-575-9505",
            "fax_number": "281-495-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9127 MAGNOLIA VW",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770996405",
            "telephone_number": "281-575-9505",
            "fax_number": "281-495-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "LAWAL",
        "authorized_official_first_name": "MUTIAT",
        "authorized_official_middle_name": "OLATUNDUN",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING / ADMINISTRATOR",
        "authorized_official_telephone_number": "281-575-9505",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "665509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "679479",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOUNTAIN HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Foundational Aptitude Company Training
• Foundations Pediatric Therapy of Houston
• Founder Care Solutions
• Founders Healthcare, LLC
• Founders Healthcare, LLC.
• Fountain Counseling and Developmental Services
• Fountain Counseling and Developmental Services
• Fountain of Life Health Services LLC
• Fountain of Life Housing
• Fountain of Life Housing (Fountain of Life Ministries International)

• Home Health Agency in Houston, TX
• Providers in Houston, 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 Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.