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Contact Information

FOUNTAIN HEALTH GROUP, LLC
3200 EAGLE PARK DR NE STE 104
GRAND RAPIDS, MI49525-7057
 Phone: 616-288-1282
 Fax: 616-288-1784
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Home Infusion

251F00000X
 

In Home Supportive Care

253Z00000X
 

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for FOUNTAIN HEALTH GROUP, LLC

NPI # 1053262352
LBN Legal business name FOUNTAIN HEALTH GROUP, LLC
Authorized official ERIC SMITH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/04/2026
Last updated 02/04/2026 - About 4 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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