Organization Active NPI

Fountainview Center LP

  • Skilled Nursing Facility
  • Atlanta, GA
National Provider Identifier
1942271465
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2-044-459 Issued in GA
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

Updated by the provider on Feb 27, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00421429AMedicaidGA
71-01338OtherGAUNITED HLTHCARE-EVERCARE

Other names 1

  • The Fountainview Center for Alzheimer's Disease Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
PartnershipProprietary
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 AlzheimerCCN 115697 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Jul 1, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120113.6 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
4Fines totaling $45,465

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Julius Freeman Individual Operational/Managerial Control Jan 7, 2024
Adp of the SNF Jan 7, 2024
Fountainview Acquisition Corp Organization, Atlanta, GA Corporation General Partnership Interest Apr 15, 2005 65.84%
Ramsey E Jackson Individual Adp of the SNF Jan 10, 2010
David M Small Individual 5% Or Greater Indirect Ownership InterestN/a Jun 15, 2005 20%
George Rowland Cocks Individual Corporate OfficerCfo Nov 1, 2006 100%
Operational/Managerial Control Nov 1, 2006
Adp of the SNF Nov 1, 2006
Fountainview Holdings, LP Organization, Atlanta, GA For-profit Limited Partnership Interest Apr 15, 2005 34.16%
William M Small Individual 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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

Verify at the official NPI Registry.