NPIMap

Organization Active NPI

Fountain of Life Housing

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Houston, TX
National Provider Identifier
1558669671
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
FOUNTAIN OF LIFE HOUSING
Practice address
2319 Pannell St
Houston, TX 77026-6536
Phone
(713) 320-2772
NPI assigned
Mar 14, 2011
Organization subpart
Yes
Parent organization
FOUNTAIN OF LIFE MINISTRIES, INTERNATIONALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Authorized official

Name
Mr. Carl Dean Brown
Title
Director
Phone
(713) 320-2772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

2319 Pannell St
Houston, TX 77026-6536

Mailing address

2319 Pannell St
Houston, TX 77026-6536
Phone (713) 320-2772

Other names 1

  • Fountain of Life Ministries, International Other name

National Provider Directory

National Provider Directory
Tax ID family
Fountain of Life Housing2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1558669671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 PANNELL ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770266536",
            "telephone_number": "713-320-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 PANNELL ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770266536",
            "telephone_number": "713-320-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN OF LIFE HOUSING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOUNTAIN OF LIFE MINISTRIES, INTERNATIONAL",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-320-2772",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fountain of Life Ministries, International",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.