Active NPI
Fountains Recovery, LLC
- Adult Mental Health Clinic/Center
- Boca Raton, FL
National Provider Identifier
1851680607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.