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Fountain Gate Health Llc
Assisted Living Facility (Mental Illness) in Coon Rapids, Minnesota
NPI 1407491475

Fountain Gate Health Llc is an Assisted Living Facility (Mental Illness) based in Coon Rapids, MN and is specialized in Assisted Living, Mental Illness. Fountain Gate Health Llc practices in Coon Rapids, MN. The NPI Number for Fountain Gate Health Llc is 1407491475 and holds a License No. (Minnesota).

The current practice location address for Fountain Gate Health Llc is 10714 Ilex St Nw, Coon Rapids, MN and can be reached out via phone at 763-516-8304. You can also correspond with Fountain Gate Health Llc through the mailing address at 10714 ILEX ST NW, COON RAPIDS, MN - 55448-4941 (mailing address contact number: 763-516-8304).

Location: 10714 Ilex St Nw, Coon Rapids, MN, 55448-4941
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407491475
Provider Name
Fountain Gate Health Llc
Credential
Provider Entity Type
Organization
Address
10714 Ilex St Nw, Coon Rapids, MN, 55448-4941
Phone Number
763-516-8304
Fax Number
Provider Enumeration Date
11/13/2019
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
10714 Ilex St Nw
City
Coon Rapids
State
Minnesota
Zip
55448-4941
Phone Number
763-516-8304
Fax Number
person
Provider Business Mailing Address Details
Address
10714 Ilex St Nw
City
Coon Rapids
State
Minnesota
Zip
55448-4941
Phone Number
763-516-8304
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 3
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
person
Provider's Taxonomy Details 4
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
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