Organization Active NPI

Fountain of Care Inc.

  • In Home Supportive Care Agency
  • Indianapolis, IN
National Provider Identifier
1811276447
Registry record updated Aug 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
11-012640-1 Issued in IN
Legal business name
FOUNTAIN OF CARE INC.
Practice address
6127 Palomar Cir
Indianapolis, IN 46234-9062
Phone
(317) 756-8176
Fax
(317) 602-5329
NPI assigned
Aug 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2011

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

Authorized official

Name
Godwin N Nobel, MD
Title
Ceo
Phone
(317) 756-8176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 11-012640-1 IN Primary

Addresses

Primary practice location

6127 Palomar Cir
Indianapolis, IN 46234-9062

Mailing address

6127 Palomar Cir
Indianapolis, IN 46234-9062
Phone (317) 756-8176

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1313193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313193600000",
    "number": "1811276447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6127 PALOMAR CIR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462349062",
            "telephone_number": "317-756-8176",
            "fax_number": "317-602-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6127 PALOMAR CIR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462349062",
            "telephone_number": "317-756-8176",
            "fax_number": "317-602-5329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN OF CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-13",
        "last_updated": "2011-08-13",
        "status": "A",
        "authorized_official_last_name": "NOBEL",
        "authorized_official_first_name": "GODWIN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-756-8176",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "11-012640-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2011; 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.