Fountain Of Youth

LBN: Fountain Of Youth
Fountain Of Youth is an health care organization with primary practice located at 26 Dumont Ave , Staten Island NY 10305-1450. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as the primary health care specialty. Fountain Of Youth can be contacted via phone (718) 667-8510, or through Alexander, Brent via phone (718) 667-8521.

Contact Information

Primary practice address
26 Dumont Ave Staten Island NY 10305-1450
Phone: (718) 667-8510
Fax: (718) 667-8884
Website:
Map and Directions
Authorized official contact:
Name: Alexander, Brent
Phone: (718) 667-8521

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X

Profile Details

NPI number 1144630963
LBN Legal business name Fountain Of Youth
DBA Doing business as
Authorized official Alexander, Brent
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2014
Last updated May 1st, 2014 - about 10 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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