NPIMap

Organization Active NPI

Fountain Hope & Help for Youth

  • Health Maintenance Organization
  • Inglewood, CA
National Provider Identifier
1871825869
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
FOUNTAIN HOPE & HELP FOR YOUTH
Practice address
2930 W Imperial Hwy
Ste 510
Inglewood, CA 90303-3143
Phone
(323) 755-5632
NPI assigned
Feb 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
Mr. Abraham Wale Jimoh
Title
Executive Director
Phone
(213) 300-0950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X CA Primary

Addresses

Primary practice location

2930 W Imperial Hwy
Ste 510
Inglewood, CA 90303-3143

Mailing address

2930 W Imperial Hwy
Ste 510
Inglewood, CA 90303-3143
Phone (323) 755-5632

National Provider Directory

National Provider Directory
Tax ID family
Fountain Hope and Health for Youth2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2930 W Imperial Hwy
Ste 510
Inglewood, CA 90303
Phone (323) 755-5632

NPI Registry JSON

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1871825869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 W IMPERIAL HWY",
            "address_2": "STE 510",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903033143",
            "telephone_number": "323-755-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 W IMPERIAL HWY",
            "address_2": "STE 510",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903033143",
            "telephone_number": "323-755-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN HOPE & HELP FOR YOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "JIMOH",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_middle_name": "WALE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "213-300-0950",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.