Organization Active NPI

Fountains Recovery, LLC

  • Adult Mental Health Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1851680607
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
FOUNTAINS RECOVERY, LLC
Practice address
798 S Federal Hwy Ste 200
Boca Raton, FL 33432-6162
Phone
(561) 955-8575
Fax
(561) 955-8715
NPI assigned
Apr 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Authorized official

Name
Ms. Van Jones, MS, EDD., CMHP
Title
Dir. of Operations
Phone
(561) 955-8575

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

798 S Federal Hwy Ste 200
Boca Raton, FL 33432-6162

Mailing address

798 S Federal Hwy Ste 200
Boca Raton, FL 33432-6162
Phone (561) 955-8575

National Provider Directory

National Provider Directory

Locations

798 S Federal Hwy
Ste 200
Boca Raton, FL 33432
Phone (561) 955-8575

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1851680607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 S FEDERAL HWY STE 200",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334326162",
            "telephone_number": "561-955-8575",
            "fax_number": "561-955-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 S FEDERAL HWY STE 200",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334326162",
            "telephone_number": "561-955-8575",
            "fax_number": "561-955-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAINS RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "VAN",
        "authorized_official_title_or_position": "DIR. OF OPERATIONS",
        "authorized_official_telephone_number": "561-955-8575",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, EDD., CMHP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.