FOUNTAIN OF LIFE HEALING HOME HEALTH LP (NPI# 1467556654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467556654 |
| Entity Type | Organization |
| Organization Name | FOUNTAIN OF LIFE HEALING HOME HEALTH LP |
| Other Organization Name | FOUNTAIN OF LIFE HOME HEALTH, LP |
| Practice Address |
21779 Hinojosa Rd Edinburg TX 78541-5065 |
| Mailing Address |
5111 N 10th St # 269 Mcallen TX 78504-2835 |
| Practice Telephone | 9567204139 |
| Practice Fax Number | 9567204167 |
| Mailing Telephone | 9567204139 |
| Mailing Fax Number | 9567204167 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2015-05-06 |
| Authorized Official Name | MR. GARY BRYAN CRANFORD (ADMINISTRATOR/OWNER) |
| Authorized Official Telephone | 9567204139 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 010933 | TX | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | PENDING | 05 |
| Other Name | Type Code |
|---|---|
| Fountain of Life Home Health, LP | Doing Business As Name - Organization |
| Street Address |
21779 HINOJOSA RD |
| City | EDINBURG |
| State | TX |
| Zip Code | 78541-5065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023649670 | Andrea Vargas-garcia | Dentist | 1507 S. Mccoll Rd, Edinburg, TX 78541 | 2020-02-03 |
| 1497307607 | Nice View Home Care,llc. | Technician | 13418 N. Deport Rd., Edinburg, TX 78541 | 2019-07-09 |
| 1639632177 | Dulce Tranquilidad Home Care, LLC | Technician | 13217 Los Terrazos Blvd., Edinburg, TX 78541 | 2019-04-11 |
| 1073095527 | Erika Cadena | Technician | 13217 Los Terrazos Blvd, Edinburg, TX 78541 | 2018-08-31 |
| 1568943652 | Max Joseph Garza I | Speech-Language Pathologist | 1126 W Montecristo Rd, Edinburg, TX 78541 | 2018-08-27 |
| 1396250650 | Municipal Emergency Medicine Associates, Pa | Physician Assistant | 3615 N. Interstate 69c, Edinburg, TX 78541 | 2017-12-08 |
| 1598283764 | Super Kiddos Home Health | Home Health | 1718 N Closner Blvd, Ste. D, Edinburg, TX 78541 | 2017-09-07 |
| 1770026064 | Chuck Reid | Counselor | 108 N. Jackson Rd, Suite 32, Edinburg, TX 78541 | 2016-11-18 |
| 1700236411 | Andrea Chilcote | Specialist/Technologist | 1620 Phoenix Street Apt 4, Edinburg, TX 78541 | 2016-06-14 |
| 1104207653 | Sergio E Lopez, Dds, Pediatric Dentistry, Pllc | Dentist | 1507 South Mccoll Road, Edinburg, TX 78541 | 2015-06-10 |
| Find all providers in zip 78541 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275175747 | Black Gallo Enterprices LLC | Home Health | 4412 Harmony Ln, Edinburg, TX 78542-6744 | 2019-10-16 |
| 1710450747 | De Los Angeles Home Health Services LLC | Home Health | 1409 S 9th Ave Ste 200, Edinburg, TX 78539-5527 | 2019-01-02 |
| 1184115800 | Brilliance Health Care Limited Liability Company | Home Health | 3117 Ginger Ave, Edinburg, TX 78539-3488 | 2018-05-29 |
| 1447767272 | Carino Primary Home Care LLC | Home Health | 4100 Cosentino Dr, Edinburg, TX 78541-4452 | 2018-01-02 |
| 1598275851 | Blueline Homecare, LLC | Home Health | 5211 S Mccoll Rd Ste B, Edinburg, TX 78539-7835 | 2017-10-01 |
| 1598283764 | Super Kiddos Home Health | Home Health | 1718 N Closner Blvd, Ste. D, Edinburg, TX 78541 | 2017-09-07 |
| 1265968218 | Ikon Ehealth Services LLC | Home Health | 3516 W Mile 17 1/2 Rd, Edinburg, TX 78541-4821 | 2017-05-11 |
| 1205375763 | Encino Primary Home Care LLC | Home Health | 1409 S 9th Ave Ste 103, Edinburg, TX 78539-5527 | 2017-02-16 |
| 1508211970 | 4 Genesis Primary Home Care, LLC | Home Health | 506 Delia Dr., Edinburg, TX 78542-5034 | 2016-05-04 |
| 1215312301 | Compassionate Home Health Care, Inc. | Home Health | 235 Michael Dr, Edinburg, PA 16116-2115 | 2015-07-30 |
| Find all providers in EDINBURG | ||||
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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.