Fountain Gate Health Llc

LBN: Fountain Gate Health Llc
Fountain Gate Health Llc is an health care organization with primary practice located at 10714 Ilex St Nw , Coon Rapids MN 55448-4941. The organization recently has 4 registered licenses in different health care specialties including Agencies / Home Health, Agencies / In Home Supportive Care, Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Assisted Living, Mental Illness. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. Fountain Gate Health Llc can be contacted via phone (763) 516-8304, or through Mccarthy, Evelyn via phone (763) 516-8304.

Contact Information

Primary practice address
10714 Ilex St Nw Coon Rapids MN 55448-4941
Phone: (763) 516-8304
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mccarthy, Evelyn
Phone: (763) 516-8304

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / In Home Supportive Care 253Z00000X
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X

Profile Details

NPI number 1407491475
LBN Legal business name Fountain Gate Health Llc
DBA Doing business as
Authorized official Mccarthy, Evelyn
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2019
Last updated Nov 13th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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