Fountain of Youth LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

1000000013818 Issued in TN

Legal business name

FOUNTAIN OF YOUTH LLC

Doing business as

Care Givers Solutions

Practice address

120 Center Park Dr
Suite 9
Knoxville, TN 37922-2117

Phone

(865) 755-8324

NPI assigned

Jan 13, 2014

Last updated

Jan 13, 2014By 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

John P West

Title

Owner

Phone

(865) 755-8324

Specialties & licenses 1

Addresses

Other names 1

• Care Givers Solutions Doing business as

Locations

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389571200000",
    "number": "1568884427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CENTER PARK DR",
            "address_2": "SUITE 9",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379222117",
            "telephone_number": "865-755-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CENTER PARK DR",
            "address_2": "SUITE 9",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379222117",
            "telephone_number": "865-755-8324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN OF YOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-13",
        "last_updated": "2014-01-13",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-755-8324"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "1000000013818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Givers Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Foundation of Stone Pediatric and Perinatal Family Chiropractic PC
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• Fountain City Dental Care
• Fountain City Endodontics, PLLC
• Fountain City Smiles PLLC
• Fountain of Youth Medical LLC
• Four Way Prescription Shop
• Dana Ronald Foust, DDS
• Doby Foust Jr.
• Janiece Ren'Ee-Lemaster Foust, LCSW

• In Home Supportive Care Agency in Knoxville, TN
• Providers in Knoxville, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.