FOUNTAIN SPRINGS HEALTHCARE CORP (NPI# 1134699242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134699242 |
| Entity Type | Organization |
| Organization Name | FOUNTAIN SPRINGS HEALTHCARE CORP |
| Practice Address |
637 Lake Terrace Dr Nashville TN 37217-4212 |
| Practice Telephone | 6154791418 |
| Mailing Telephone | 6154791418 |
| Enumeration Date | 2018-12-01 |
| Last Update Date | 2018-12-01 |
| Authorized Official Name | MRS. MARY PONI CORNELIUS (CHIEF OPERATIONS OFFICER) |
| Authorized Official Telephone | 6154791418 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities |
| Street Address |
637 LAKE TERRACE DR |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37217-4212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184079 | Heart and Soul Hospice LLC | Hospice Care, Community Based | 402 Bna Corporate Dr., Suite 305, Nashville, TN 37217 | 2020-11-03 |
| 1194332148 | Talley Boarding Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2741 Smith Springs Rd, Nashville, TN 37217 | 2020-09-24 |
| 1114543154 | Optum Pharmacy 701, LLC | Pharmacy | 800 Airpark Center Drive, Suite 809, Nashville, TN 37217 | 2020-06-24 |
| 1346861309 | Rx Clinic LLC | Family Medicine | 1046 Mcgavock Pike Ste A, Nashville, TN 37217 | 2020-04-30 |
| 1366935777 | Horizon Star Healthcare, Inc. | Nursing Care | 2201 Murfreesboro Pike Ste D-109, Nashville, TN 37217 | 2018-06-11 |
| 1649790056 | Mid-cumberland Human Resource Agency | Non-emergency Medical Transport (VAN) | 1101 Kermit Drive, Ste 300, Nashville, TN 37217 | 2017-06-27 |
| 1699216762 | Rocky Mountain Holdings, LLC | Ambulance | 603 Hangar Ln, Nashville, TN 37217 | 2017-03-09 |
| 1053715870 | Ida Michelle Daughtry | Physical Therapist | 1120 Twin Circle Drive, Nashville, TN 37217 | 2014-10-22 |
| 1497158885 | Rebeccah Fore | Preferred Provider Organization | 331 Plus Park Blvd. #150, Nashville, TN 37217 | 2014-09-30 |
| 1326465089 | Eberechi Obi Onyejiaka | Custodial Care Facility | 525 Galesburg Ct., Nashville, TN 37217 | 2014-03-19 |
| Find all providers in zip 37217 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225568389 | Balance Homecare LLC | Assisted Living Facility | 2611 Herman St, Nashville, TN 37208-3234 | 2017-06-12 |
| 1700281524 | Trucare Transformation | Assisted Living Facility | 607 Neill Ave, Nashville, TN 37206-3923 | 2014-10-23 |
| 1497163760 | Comer House of Nashville LLC | Assisted Living Facility | 1603 14th Ave N, Nashville, TN 37208-2034 | 2014-07-30 |
| 1770760829 | Davidson County Assisted Living LLC | Assisted Living Facility | 6961 Highway 70 S, Nashville, TN 37221-2204 | 2008-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750905386 | Memanabel Assisted Living Home Care | Assisted Living Facility | 5161 Pebble Creek Dr, Antioch, TN 37013-1871 | 2020-05-29 |
| 1154880557 | Wellington Manor, LLC | Assisted Living Facility | 375 Hendrick Drive, Newport, TN 37821-5344 | 2019-03-15 |
| 1720580624 | Renee's House of Care | Assisted Living Facility | 2068 Lee Cv, Memphis, TN 38127-3322 | 2018-03-06 |
| 1821337866 | Leann Care LLC | Assisted Living Facility | 33 Rawlig Wood Cove Ave, Jackson, TN 38305 | 2013-02-12 |
| 1588994560 | Serenity Homes LLC | Assisted Living Facility | 3313 Cotton Bale Cv, Memphis, TN 38119-8971 | 2010-01-13 |
| 1710180955 | Victorian Square, LLC | Assisted Living Facility | 241 S Chamberlain Ave, Rockwood, TN 37854-6542 | 2007-06-06 |
| 1407363526 | True Home Health | Assisted Living Facility | 111 Center Park Dr Ste 115, Knoxville, TN 37922-2121 | 2018-01-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.