FOUNTAIN CARE CENTER, LLC (NPI# 1093778128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093778128 |
| Entity Type | Organization |
| Organization Name | FOUNTAIN CARE CENTER, LLC |
| Other Organization Name | FOUNTAIN CARE CENTER |
| Practice Address |
1835 West La Veta Avenue Orange CA 92868 |
| Practice Telephone | 7149786800 |
| Practice Fax Number | 7149782544 |
| Mailing Telephone | 7149786800 |
| Mailing Fax Number | 7149782544 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2016-01-27 |
| Authorized Official Name | MICHAEL T. BERG (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 5054684752 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUMMIT CARE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 080000646 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LTC555259G | 05 |
| Other Name | Type Code |
|---|---|
| Fountain Care Center | Doing Business As Name - Organization |
| Street Address |
1835 WEST LA VETA AVENUE |
| City | ORANGE |
| State | CA |
| Zip Code | 92868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811029069 | New Orange Hills, Inc. | Skilled Nursing Facility | 5017 E Chapman Ave, Orange, CA 92869-4211 | 2007-03-12 |
| 1942314125 | Melissa Health LLC | Skilled Nursing Facility | 4201 Fm 105, Orange, TX 77630-1272 | 2006-08-18 |
| 1245272723 | South Center Street Nursing LLC | Skilled Nursing Facility | 135 S Center St, Orange, NJ 07050-3522 | 2006-06-11 |
| 1518909035 | Berryman Health Inc. | Skilled Nursing Facility | 1973 N Glacier St, Orange, CA 92867-2459 | 2006-06-11 |
| 1942275706 | White House Healthcare and Rehabilitation Center Inc. | Skilled Nursing Facility | 560 Berkeley Ave, Orange, NJ 07050-2109 | 2006-02-22 |
| 1457347221 | Orange Villa Nursing and Rehabilitation Lp | Skilled Nursing Facility | 510 3rd St, Orange, TX 77630-5808 | 2005-09-27 |
| 1356337125 | Pinehurst Nursing and Rehabilitation Lp | Skilled Nursing Facility | 3000 Cardinal St, Orange, TX 77630-4737 | 2005-09-27 |
| 1699774067 | Orange County Nursing Home | Skilled Nursing Facility | 120 Dogwood Ln, Orange, VA 22960-1058 | 2005-07-19 |
| 1356967624 | Slp Orange LLC | Skilled Nursing Facility | 3000 Cardinal St, Orange, TX 77630-4737 | 2020-06-22 |
| 1437610292 | Fpacp Orange LLC | Skilled Nursing Facility | 4201 Fm 105, Orange, TX 77630-1272 | 2019-03-26 |
| Find all providers in ORANGE | ||||
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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.