FOUNTAIN FAMILY INC (NPI# 1447694088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447694088 |
| Entity Type | Organization |
| Organization Name | FOUNTAIN FAMILY INC |
| Other Organization Name | HOMEWATCH CAREGIVERS ATLANTA EAST |
| Practice Address |
457 Flat Shoals Ave Se Atlanta GA 30316-1962 |
| Practice Telephone | 4045210404 |
| Practice Fax Number | 4045210403 |
| Mailing Telephone | 4045210404 |
| Mailing Fax Number | 4045210403 |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2013-04-25 |
| Authorized Official Name | JEFFREY L WHITEHOUSE (PRESIDENT) |
| Authorized Official Telephone | 4045210404 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | 044R0549 | GA | Agencies |
| Other Name | Type Code |
|---|---|
| Homewatch CareGivers Atlanta East | Doing Business As Name - Organization |
| Street Address |
457 FLAT SHOALS AVE SE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30316-1962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912248386 | East Atlanta Injury and Wellness | Clinic/Center | 457 Flat Shoals Ave Se, Suite 4, Atlanta, GA 30316-1962 | 2013-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073156923 | Rakiya Williams | Counselor | 1030 Fayetteville Rd., Atlanta, GA 30316 | 2019-10-23 |
| 1215585815 | Madison Victoria Baugh | Counselor | Chris180, 1030 Fayetteville Rd, Atlanta, GA 30316 | 2019-08-28 |
| 1265089460 | Josee Dominque Muldrew | Counselor | 1030 Fayetteville Rd. Se, Atlanta, GA 30316 | 2019-08-22 |
| 1255984241 | Monique Overstreet | Counselor | 1030 Fayetteville Road, Atlanta, GA 30316 | 2019-07-19 |
| 1023573979 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 905 Memorial Drive Se, Atlanta-fulton, GA 30316 | 2019-02-05 |
| 1740726454 | Jimmy Brian Sambula | Behavior Technician | 1017 Fayetteville Rd. Se, Atlanta, GA 30316 | 2017-01-19 |
| 1033665039 | Liberty Group Senior Services | Clinic/Center | 1879 Glenwood Avenue, Atlanta, GA 30316 | 2016-08-30 |
| 1043673650 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 800 Glenwood Ave Se, Atlanta, GA 30316 | 2016-03-31 |
| 1992143382 | Ayodele Osasona | Surgery | 2004 Oak Terrace Dr Se, Atlanta, GA 30316 | 2013-06-07 |
| 1891945721 | Denise Renee Cagle | Social Worker | 1471 Town Country Dr Se, Atlanta, GA 30316 | 2008-09-28 |
| Find all providers in zip 30316 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126850 | Surge Home Care | In Home Supportive Care | 707 Park Ave. Ne, #1532, Atlanta, GA 30326 | 2020-08-31 |
| 1285244681 | Health Connect Caregivers LLC | In Home Supportive Care | 3300 Buckeye Rd Ste 500, Atlanta, GA 30341-4232 | 2020-07-31 |
| 1922617901 | Care for All Homecare LLC | In Home Supportive Care | 2302 Parklake Dr Ne Ste 120, Atlanta, GA 30345-2896 | 2020-07-27 |
| 1558979930 | Pearls of Wisdom Healthcare LLC | In Home Supportive Care | 600 Greensferry Ave Sw Apt 903, Atlanta, GA 30314-4347 | 2020-07-21 |
| 1831726447 | Prosper Community Care, LLC | In Home Supportive Care | 3088 Mercer University Dr Ste 100b, Atlanta, GA 30341-4140 | 2020-03-24 |
| 1336776947 | Prosper Private Care, LLC | In Home Supportive Care | 3088 Mercer University Dr Ste 100c, Atlanta, GA 30341-4140 | 2020-03-24 |
| 1194357095 | Addies Tender Home Care Services | In Home Supportive Care | 3057 Collier Dr Nw, Atlanta, GA 30318-7152 | 2020-02-08 |
| 1700426996 | A Touch of Love Personal Care & Consulting | In Home Supportive Care | 100 Hartsfield Centre Pkwy Suite 500, Atlanta, GA 30354 | 2020-01-15 |
| 1538702253 | Tiara Roberson | In Home Supportive Care | 3059 Quantum Ln, Atlanta, GA 30341-8100 | 2019-10-25 |
| 1104468776 | An Extra Hand Home Care LLC. | In Home Supportive Care | 1903 Drew Dr Nw Apt 1204, Atlanta, GA 30318-3527 | 2019-10-15 |
| Find all providers in ATLANTA | ||||
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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.