Fountain of Life Healthcare Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FOUNTAIN OF LIFE HEALTHCARE INC.

Practice address

2803 Lektorich LN
Plainfield, IL 60586-7214

Phone

(331) 231-0380

NPI assigned

Jul 28, 2023

Organization subpart

No

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

Authorized official

Name

Tolulope Lasaki

Title

Owner

Phone

(331) 231-0380

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1700567005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 LEKTORICH LN",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605867214",
            "telephone_number": "331-231-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 LEKTORICH LN",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605867214",
            "telephone_number": "331-231-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN OF LIFE HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "LASAKI",
        "authorized_official_first_name": "TOLULOPE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "331-231-0380"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Collette Angel Francis-Hohl, LCSW
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• Malcolm Bernard Franklin, M.D.

• All providers in Plainfield, IL
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.