Fountain of Hope Home Care Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FOUNTAIN OF HOPE HOME CARE SERVICES LLC

Practice address

6008 Brandy Chase CV Ste B
Fort Wayne, IN 46815-7601

Phone

(317) 658-8440

NPI assigned

Apr 5, 2023

Organization subpart

No

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

Authorized official

Name

Mary M Mmbaka

Title

President

Phone

(317) 658-8440

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1659076875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6008 BRANDY CHASE CV STE B",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468157601",
            "telephone_number": "317-658-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6008 BRANDY CHASE CV STE B",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468157601",
            "telephone_number": "317-658-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN OF HOPE HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "MMBAKA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-658-8440"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Foster
• Susanne Foster
• Whitney R Foster, NP-C
• Kimberly K Foulks, RN
• Foundation Surgery Affiliate of Fort Wayne, LLC
• Pamela Kinder Fountain, MSN, RNC, APRN-BC
• Lindsey Foust, MS, LAT, ATC
• Lucia A. Fouts Grubbs, MD
• John B Fouts, MD
• Megan Fowerbaugh

• In Home Supportive Care Agency in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.