Active NPI
Fountainview Center LP
- Skilled Nursing Facility
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2-044-459
- Legal business name
- FOUNTAINVIEW CENTER LP
- Doing business as
- The Fountainview Center for Alzheimer's Disease
- Practice address
- 2631 N Druid Hills Rd NE
Atlanta, GA 30329-3529 - Phone
- (404) 325-7994
- Fax
- (404) 325-1213
- NPI assigned
- Feb 1, 2006
- 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. Linda G Kimball, LNHA
- Title
- Executive Director
- Phone
- (404) 325-7994
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2-044-459 | GA | Primary |
Addresses
Primary practice location
2631 N Druid Hills Rd NE
Atlanta, GA 30329-3529
Mailing address
2631 N Druid Hills Rd NE
Atlanta, GA 30329-3529
Phone (404) 325-7994
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00421429A | Medicaid | GA | |
| 71-01338 | Other | GA | UNITED HLTHCARE-EVERCARE |
Other names 1
- The Fountainview Center for Alzheimer's Disease
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050415000869 | GA | Part A Provider - Skilled Nursing Facility | 3577500990 | Practice locations: Atlanta, GA |
Skilled nursing facility certification: CCN 115697
- Legal name
- FOUNTAINVIEW CENTER LP
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 2005
- Last certification
- May 16, 2025
- Beds
- 120
- Ownership / control type
- Individual
- Organization structure
- Partnership
- Enrollment address
- 2631 North Druid Hills Road NE
Atlanta, GA 30329-3529 - Nursing home name
- FOUNTAINVIEW CTR FOR ALZHEIMER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Fountainview Ctr for Alzheimer
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Jul 1, 2005
- Medicare certification status
- Active
- Certified beds
- 120
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 4
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 7
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Julius Freeman | Operational/Managerial Control | Jan 7, 2024 | |
| Adp of the SNF | Jan 7, 2024 | ||
| Fountainview Acquisition Corp | General Partnership Interest | Apr 15, 2005 | 65.84% |
| Ramsey E Jackson | Adp of the SNF | Jan 10, 2010 | |
| David M Small | 5% Or Greater Indirect Ownership Interest | Jun 15, 2005 | 20% |
| George Rowland Cocks | Corporate Officer | Nov 1, 2006 | 100% |
| Operational/Managerial Control | Nov 1, 2006 | ||
| Adp of the SNF | Nov 1, 2006 | ||
| Fountainview Holdings, LP | Limited Partnership Interest | Apr 15, 2005 | 34.16% |
| William M Small | 5% Or Greater Indirect Ownership Interest | Jun 15, 2005 | 55% |
| Operational/Managerial Control | Oct 20, 1995 | ||
| Adp of the SNF | Oct 20, 1995 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Internal Medicine) Physician
- Atlanta, GA
- NPI 1275645459
Adp of the SNF
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Atlanta, GA
- NPI 1275645459
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Atlanta, GA
- NPI 1275645459
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330300800000",
"number": "1942271465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2631 N DRUID HILLS RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303293529",
"telephone_number": "404-325-7994",
"fax_number": "404-325-1213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2631 N DRUID HILLS RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303293529",
"telephone_number": "404-325-7994",
"fax_number": "404-325-1213"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUNTAINVIEW CENTER LP",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-01",
"last_updated": "2012-02-27",
"status": "A",
"authorized_official_last_name": "KIMBALL",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "404-325-7994",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LNHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "GA",
"license": "2-044-459",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00421429A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HLTHCARE-EVERCARE",
"identifier": "71-01338",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Fountainview Center for Alzheimer's Disease",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.