Fountain Of Youth
Clinic/Center, Adult Day Care in Staten Island, New York
1144630963- Practice location
- 26 Dumont Ave, Staten Island, NY 10305-1450
- Phone
- 718-667-8510
- Fax
- 718-667-8884
- Last updated
- May 1, 2014
Fountain Of Youth is a healthcare organization based in Staten Island, NY. Fountain Of Youth practices in Staten Island, NY. The NPI Number for Fountain Of Youth is 1144630963. The current practice location address for Fountain Of Youth is 26 Dumont Ave, Staten Island, NY 10305-1450 and can be reached out via phone at 718-667-8510 and via fax at 718-667-8884.
Provider Profile Details
- NPI Number
- 1144630963
- Provider Name
- Fountain Of Youth
- Provider Entity Type
- Organization
- Address
- 26 Dumont Ave, Staten Island, NY 10305-1450
- Phone Number
- 718-667-8510
- Fax Number
- 718-667-8884
- Primary Taxonomy
- Clinic/Center, Adult Day Care · 261QA0600X
- Organization Subpart
- No
- Authorized Official
- Brent Alexander · President · 718-667-8521
- Provider Enumeration Date
- May 1, 2014
- Last Update Date
- May 1, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 26 Dumont Ave
Staten Island, NY 10305-1450 - City
- Staten Island
- State
- New York
- Zip
- 10305-1450
- Phone Number
- 718-667-8510
- Fax Number
- 718-667-8884
Provider Business Mailing Address Details
- Address
- 26 Dumont Ave
Staten Island, NY 10305-1450 - City
- Staten Island
- State
- NY
- Zip
- 10305-1450
- Phone Number
- 718-667-8510
- Fax Number
- 718-667-8884
License Information
- Taxonomy
- Clinic/Center, Adult Day Care · 261QA0600X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Fountain Of Youth?
The NPI number of Fountain Of Youth is 1144630963. It was assigned on May 1, 2014 and is currently active in the NPPES registry.
What is the specialty of Fountain Of Youth?
Fountain Of Youth is registered under the primary taxonomy Clinic/Center, Adult Day Care (code 261QA0600X).
Where does Fountain Of Youth practice?
The practice location is 26 Dumont Ave, Staten Island, NY 10305-1450. The office can be reached at 718-667-8510 (phone) or 718-667-8884 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144630963 directly on the NPPES registry website.