Organization · Type 2 NPI

Fountain of Hope L.l.c.

Mental Illness Community Based Residential Treatment Facility · Henderson, NV

NPI number 1386119683 Active

Practice location

268 Delta Waters St
Henderson, NV 89074-8712

Fax (725) 605-5874

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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NPI record

NPI: 1386119683
Entity type: Organization (Type 2)
Issued: Oct 12, 2018
Last updated: Jun 3, 2019
Status: Active

Other names

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Fountain of Hope Family Services · doing business as
Fountain of Hope Family Services · doing business as

Authorized official

Shyndona Young
CEO
(725) 400-4098

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1386119683

Fountain of Hope L.l.c.'s National Provider Identifier is 1386119683, issued on Oct 12, 2018. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Henderson, NV. The record was last updated on Jun 3, 2019.