The Fountains Living LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

THE FOUNTAINS LIVING LLC

Practice address

12406 Alder St NW
Coon Rapids, MN 55448-4801

Phone

(612) 707-5235

NPI assigned

Feb 11, 2025

Last updated

Feb 11, 2025By 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

Mr. Bashir BarkadleNPI 1245094812

Title

Director

Phone

(612) 707-5235

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bashir Barkadle

  • Behavior Technician
  • Blaine, MN
  • NPI 1245094812
  NPD Authorized official

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1831904333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12406 ALDER ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554484801",
            "telephone_number": "612-707-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12406 ALDER ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554484801",
            "telephone_number": "612-707-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FOUNTAINS LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "BARKADLE",
        "authorized_official_first_name": "BASHIR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-707-5235",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Withers Thackeray, MD
• Andrew Thao
• Ching Yeng Thao
• Edwin Ma Thao
• Samantha Thayer, OTR/L
• The Homestead at Coon Rapids, Inc.
• The Homestead at Coon Rapids, Inc. (The Homestead at Coon Rapids)
• The Menage
• The Winkley Company (Winkley Orthotics and Prosthetics)
• Mary Jo Theis, COTA

• Assisted Living Facility (Mental Illness) in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Assisted Living Facility (Mental Illness) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.