Organization Active NPI

Fountain Home Health Services LLC

  • Home Health Agency
  • Lawrence, MA
National Provider Identifier
1558768986
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FOUNTAIN HOME HEALTH SERVICES LLC
Practice address
160 Winthrop Ave
Lawrence, MA 01843-3840
Phone
(603) 943-2817
NPI assigned
Dec 1, 2014
Last updated
Jan 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Authorized official

Name
Joshua Gitonga Wanganga
Title
Ceo
Phone
(603) 943-2817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

160 Winthrop Ave
Lawrence, MA 01843-3840

Mailing address

160 Winthrop Ave
Lawrence, MA 01843-3840
Phone (603) 943-2817

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1558768986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WINTHROP AVE",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018433840",
            "telephone_number": "603-943-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 WINTHROP AVE",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018433840",
            "telephone_number": "603-943-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "WANGANGA",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "GITONGA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "603-943-2817"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.