Fountain of Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FOUNTAIN OF CARE, LLC

Practice address

29225 Heritage CT
Southfield, MI 48076-1743

Phone

(313) 969-5128

Fax

(248) 785-3623

NPI assigned

May 10, 2011

Last updated

Sep 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lori N Clark

Title

Owner/Administrator

Phone

(313) 969-5128

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410480000000",
    "number": "1952693988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29225 HERITAGE CT",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761743",
            "telephone_number": "313-969-5128",
            "fax_number": "248-785-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29225 HERITAGE CT",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761743",
            "telephone_number": "313-969-5128",
            "fax_number": "248-785-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN OF CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2014-09-12",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "313-969-5128",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Southfield, MI
• Providers in Southfield, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; 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.