FOUNTAIN OF YOUTH LLC (NPI# 1568884427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568884427 |
Entity Type | Organization |
Organization Name | FOUNTAIN OF YOUTH LLC |
Other Organization Name | CARE GIVERS SOLUTIONS |
Practice Address |
120 Center Park Dr Suite 9 Knoxville TN 37922-2117 |
Practice Telephone | 8657558324 |
Mailing Telephone | 8657558324 |
Enumeration Date | 2014-01-13 |
Last Update Date | 2014-01-13 |
Authorized Official Name | JOHN P WEST (OWNER) |
Authorized Official Telephone | 8657558324 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 253Z00000X | In Home Supportive Care | 1000000013818 | TN | Agencies |
Other Name | Type Code |
---|---|
Care Givers Solutions | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | Fountain of Youth LLC | 1145 Grove Park Lane, Earlysville, Virginia 22936 |
Oregon Corporations, Companies and Business Names | FOUNTAIN OF YOUTH LLC | 2073 Se Kane Ave, Gresham, OR 97080 |
Street Address |
120 CENTER PARK DR SUITE 9 |
City | KNOXVILLE |
State | TN |
Zip Code | 37922-2117 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184132185 | Kimberly Zitko | Pharmacist | 400 Goody's Lane, Knoxville, TN 37922 | 2018-01-12 |
1366959314 | Matthew Smith | Physician Assistant | 1424 Randall Park Dr, Knoxville, TN 37922 | 2017-12-29 |
1174052823 | 24/7 Healthcare, Inc. | Nursing Care | 110 Center Park Drive, Suite 101, Knoxville, TN 37922 | 2017-06-07 |
1023543477 | Open Arms Care Corp | Intermediate Care Facility, Mentally Retarded | 12625 S Northshore Dr, Knoxville, TN 37922 | 2017-04-24 |
1275905440 | Milligan Surgical Associates, Pllc | Surgery | 1919 Pinnacle Pointe Way, Knoxville, TN 37922 | 2015-10-27 |
1275904096 | Medical Necessities & Services LLC | Durable Medical Equipment & Medical Supplies | 9327 S Northshore Dr, Knoxville, TN 37922 | 2015-10-20 |
1841668126 | Chad Szala | Behavioral Analyst | 10721 Chapman Hwy #22, Knoxville, TN 37922 | 2015-09-03 |
1275916470 | Nikki Nicole Peoples | Acupuncturist | 10406 Jackson Oaks Way Ste A, Knoxville, TN 37922 | 2015-07-07 |
1538577747 | Susan Carter | Optometrist | 2053 Thunderhead Rd, Knoxville, TN 37922 | 2014-07-31 |
1366868135 | Heartland Infusion | Clinic/Center | 9943 Kingston Pike, Knoxville, TN 37922 | 2014-03-17 |
Find all providers in zip 37922 |
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 |
---|---|---|---|---|
1376142083 | Unique Styles Home Healthcare Services,llc | In Home Supportive Care | 1304 Wilson Rd Ste 101, Knoxville, TN 37912-5693 | 2020-10-23 |
1578177184 | Home Health Professional Network Inc. | In Home Supportive Care | 462 Avery Way Apt 6101, Knoxville, TN 37922-4430 | 2020-09-01 |
1730707266 | 4 Families Healthcare, LLC | In Home Supportive Care | 1427 Lantana Ln, Knoxville, TN 37912-5907 | 2020-07-10 |
1275163073 | Miyang Home Care LLC | In Home Supportive Care | 928 Roderick Rd, Knoxville, TN 37923-1641 | 2020-01-21 |
1851859441 | Aideside Home Healthcare | In Home Supportive Care | 705 Gate Ln Ste 202, Knoxville, TN 37909-3521 | 2019-03-04 |
1336614973 | Your Home Team Care, LLC | In Home Supportive Care | 6130 Lonas Dr, Knoxville, TN 37909-3233 | 2018-10-10 |
1922592948 | Grow Therapy LLC | In Home Supportive Care | 1133 Burton Rd, Knoxville, TN 37919-8111 | 2018-06-22 |
1982198446 | Sit To Assist Personal Care | In Home Supportive Care | 6208 Baum Dr Ste 1, Knoxville, TN 37919-9504 | 2018-06-19 |
1669963385 | Sdx Home Care Operations, LLC | In Home Supportive Care | 2575 Willow Point Way Ste 107, Knoxville, TN 37931-3163 | 2018-05-29 |
1649773953 | Sunny Home Care | In Home Supportive Care | 9172 Dunbarton Ct, Knoxville, TN 37923-3767 | 2018-03-13 |
Find all providers in KNOXVILLE |
Please comment or provide details below to improve the information on FOUNTAIN OF YOUTH LLC.
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.