Natalie and Erik Tiltins

Primary specialty

Mental Illness Intermediate Care FacilityTaxonomy code 310500000X

License

AL5222 Issued in FL

Legal business name

NATALIE AND ERIK TILTINS

Doing business as

Fountain House

Practice address

17919 Hwy. 231
Fountain, FL 32438

Phone

(850) 722-4012

Fax

(850) 722-0203

NPI assigned

Dec 31, 2007

Last updated

Dec 31, 2007By 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

Ms. Natalie Tiltins

Title

Owner/Operator

Phone

(850) 722-4012

Specialties & licenses 1

Addresses

Other names 1

• FOUNTAIN HOUSE Doing business as

Tax ID family

Fountain House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Natalie and Erik Tiltins

  dba Fountain House

  • Mental Illness Intermediate Care Facility
  • Fountain, FL
  • NPI 1417137225
  NPD tax ID

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1710162466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 500",
            "city": "FOUNTAIN",
            "state": "FL",
            "postal_code": "324380500",
            "telephone_number": "850-722-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17919 HWY. 231",
            "city": "FOUNTAIN",
            "state": "FL",
            "postal_code": "32438",
            "telephone_number": "850-722-4012",
            "fax_number": "850-722-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATALIE AND ERIK TILTINS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "TILTINS",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "850-722-4012",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "FL",
            "license": "AL5222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOUNTAIN HOUSE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Misty Edge, CRPS
• H.O.P.E. (H.O.P.E. Program)
• Christy Middleton
• Natalie and Erik Tiltins (Fountain House)
• The H.O.P.E. Program

• Mental Illness Intermediate Care Facility in Fountain, FL
• Providers in Fountain, FL by specialty
• Mental Illness Intermediate Care Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.