Fountains Bronson Place SL, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

394050 Issued in MI

Legal business name

FOUNTAINS BRONSON PLACE SL, LLC

Doing business as

The Springs at the Fountains

Practice address

1451 Bronson Way
Kalamazoo, MI 49009-3306

Phone

(269) 382-3546

Fax

(369) 567-5998

NPI assigned

May 22, 2006

Organization subpart

No

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

Authorized official

Name

David Freshwater

Title

Authorized Official

Phone

(520) 797-4000

Specialties & licenses 1

Addresses

Other names 1

• The Springs at the Fountains Doing business as

Locations

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1598719510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W RUDASILL RD",
            "address_2": "ATTN: MEDICARE BILLING",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047800",
            "telephone_number": "520-797-4000",
            "fax_number": "520-797-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 BRONSON WAY",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093306",
            "telephone_number": "269-382-3546",
            "fax_number": "369-567-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAINS BRONSON PLACE SL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "FRESHWATER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "520-797-4000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "394050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Springs at the Fountains",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glenn Andrew Foster, MA
• Foundations Christian Counseling
• Gabraelle Elizabeth Foune, FNP-C
• Kelsea Foune, DO
• Mallory Fountain, LMSW
• Nannette Foust
• Christopher Fowler, LLMSW
• Psontia Fowler
• Matthew S Fox, LMSW
• Stacey Fox, LMSW

• Skilled Nursing Facility in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.