Fountains Home Healthcare, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

009024 Issued in TX

Legal business name

FOUNTAINS HOME HEALTHCARE, INC

Practice address

2974 LBJ Frwy
Suite 495
Dallas, TX 75234

Phone

(469) 310-0538

Fax

(469) 310-0539

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Stephanie R. Douglas

Title

Administrator

Phone

(469) 310-0538

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1639264500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2974 LBJ FRWY",
            "address_2": "SUITE 495",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75234",
            "telephone_number": "469-310-0538",
            "fax_number": "469-310-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2974 LBJ FRWY",
            "address_2": "SUITE 495",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75234",
            "telephone_number": "469-310-0538",
            "fax_number": "469-310-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAINS HOME HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-310-0538"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171342201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Dallas, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.