FOUNTAINS RECOVERY, LLC (NPI# 1851680607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851680607 |
| Entity Type | Organization |
| Organization Name | FOUNTAINS RECOVERY, LLC |
| Practice Address |
798 S Federal Hwy Ste 200 Boca Raton FL 33432-6162 |
| Practice Telephone | 5619558575 |
| Practice Fax Number | 5619558715 |
| Mailing Telephone | 5619558575 |
| Mailing Fax Number | 5619558715 |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2011-04-01 |
| Authorized Official Name | MS. VAN JONES (DIR. OF OPERATIONS) |
| Authorized Official Telephone | 5619558575 |
| Authorized Official Credential | MS, EDD., CMHP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
798 S FEDERAL HWY STE 200 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33432-6162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024067 | Barry Wolf | Counselor | Jackwolf LLC, 247 S. Ocean Blvd, Boca Raton, FL 33432 | 2020-05-12 |
| 1225659147 | Tyler Stephanie Diaz Redford | Physician Assistant | 106 Ne 2nd St., Boca Raton, FL 33432 | 2020-05-01 |
| 1235611393 | Gabrielle Bovarnick | Behavioral Analyst | 1730 S Federal Hwy #268, Delay Beach, FL 33432 | 2018-09-05 |
| 1285113878 | Innovative Supplies, LLC | Durable Medical Equipment & Medical Supplies | 399 Camino Gardens, Ste 303, Boca Raton, FL 33432 | 2018-08-14 |
| 1376029850 | Sunlight Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 1700 N. Dixie Highway, Ste 127, Boca Raton, FL 33432 | 2018-07-17 |
| 1306332648 | Sunlight Medical LLC | Durable Medical Equipment & Medical Supplies | 1700 Dixie Hwy, Suite 127, Boca Raton, FL 33432 | 2018-07-10 |
| 1669973707 | Amanda M. D'alem | Behavior Technician | Nw 13th St #300, Boca Raton, FL 33432 | 2018-02-23 |
| 1457863326 | Pipeline Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1700 N Dixie Hwy Ste 140, Boca Raton, FL 33432 | 2017-10-31 |
| 1063930717 | Francisco Jose Osorio | Behavior Technician | 123 Nw 13 St, Boca Raton, FL 33432 | 2017-09-01 |
| 1023467263 | Sraz Consultancy LLC | Counselor | 370 Camino Gardens Blvd Suite 101, Boca Raton, FL 33432 | 2016-06-08 |
| Find all providers in zip 33432 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194345090 | Mindy Mcguire, Phd, Lcsw, LLC | Clinic/Center | 3200 N Federal Hwy Ste 206-11, Boca Raton, FL 33431-6049 | 2020-04-21 |
| 1548792823 | Three Trees Center for Disordered Eating LLC | Clinic/Center | 2201 Nw Corporate Blvd Ste 205, Boca Raton, FL 33431-7337 | 2017-03-28 |
| 1104068352 | Elizabeth H. Faulk Foundation, Inc. | Clinic/Center | 22455 Boca Rio Rd, Boca Raton, FL 33433-4708 | 2009-04-02 |
| 1528578598 | Torres Counseling Services LLC | Clinic/Center | 7301 W Palmetto Park Rd Ste 102a, Boca Raton, FL 33433-3455 | 2017-10-04 |
| 1548621030 | The Fourmula Center, LLC | Clinic/Center | 5499 N Federal Hwy, Boca Raton, FL 33487-4993 | 2016-03-11 |
| 1225404759 | Kain & Associates, Pl | Clinic/Center | 1050 Nw 15th St, Suite 207a, Boca Raton, FL 33486-1375 | 2015-08-19 |
| 1053794883 | Psychotherpay and Creativity Center of Boca Raton LLC | Clinic/Center | 7025 Beracasa Way, Suite 102-a, Boca Raton, FL 33433-3443 | 2015-06-29 |
| 1760745459 | Mark Minson Phd, Pa | Clinic/Center | 4710 Nw 2nd Ave, Suite 104, Boca Raton, FL 33431-4879 | 2012-06-19 |
| 1750640637 | Gale Friedenreich, Ed.d., Arnp, Bc, P.a. | Clinic/Center | 7100 W Camino Real, Suite 302, Boca Raton, FL 33433-5510 | 2012-05-11 |
| 1477827848 | Cynthia Last Rubin, Phd, Pa | Clinic/Center | 2499 Glades Rd, Boca Raton, FL 33431-7209 | 2012-03-02 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33432 |
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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.