Blue Fountain II Home Care, LLC.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL13000 Issued in FL

Legal business name

BLUE FOUNTAIN II HOME CARE, LLC.

Practice address

1309 Sequoia Rd NW
Palm Bay, FL 32907-2781

Phone

(954) 559-3265

NPI assigned

Apr 28, 2017

Organization subpart

No

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

Authorized official

Name

Magda Delinois

Title

Administrator/Owner

Phone

(954) 559-3265

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732924800000",
    "number": "1952836736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 SEQUOIA RD NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 SEQUOIA RD NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072781",
            "telephone_number": "954-559-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE FOUNTAIN II HOME CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2024-11-30",
        "certification_date": "2024-11-30",
        "status": "A",
        "authorized_official_last_name": "DELINOIS",
        "authorized_official_first_name": "MAGDA",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "954-559-3265"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL13000",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; 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.