Fountain Community Healthcare Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FOUNTAIN COMMUNITY HEALTHCARE SERVICES

Practice address

1232 Paris Pike
Georgetown, KY 40324-9701

Phone

(502) 542-0964

Fax

(502) 868-9152

NPI assigned

May 23, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Kofi Kponyoh, M.D,MBA

Title

Ceo

Phone

(502) 542-0964

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1750738506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FAWN RUN DR",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248402",
            "telephone_number": "502-542-0964",
            "fax_number": "502-868-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 PARIS PIKE",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249701",
            "telephone_number": "502-542-0964",
            "fax_number": "502-868-9152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN COMMUNITY HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "KPONYOH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "KOFI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-542-0964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,MBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Flynn, MAT, LAT, ATC
• Forge Behavioral Health LLC
• Brittney Ku'Uipoalohakaleileh Forte, DPT
• Amy Polly Foster
• Kimberly Foster, PA
• Bethanna Fountain, RBT
• Joan B Fowler, PHARMD
• Brandy Lee Foxworth, OTA
• Karla K Francioni, ATC
• Sarah Franklin

• Community/Behavioral Health Agency in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Community/Behavioral Health Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.