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FOUNTAIN VALLEY HEALTH CARE LLC
NPI 1043074024
Nurse Practitioner - Psychiatric/Mental Health in Colorado Springs, CO

Active since February 09, 2024
1520 VERDE DR, COLORADO SPRINGS, CO 80910(719) 653-7776 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fountain Valley Health Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOUNTAIN VALLEY HEALTH CARE LLC (NPI 1043074024), doing business as Family Success Center Behavioral Health, is a healthcare organization registered as a psychiatric/mental health in Colorado Springs, Colorado and active in the NPI registry since February 2024. The organization lists Jacquita Louise Jordan, Owner, as its authorized official.

NPPES Registry Identity

NPI1043074024
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameFOUNTAIN VALLEY HEALTH CARE LLC
Location Address1520 VERDE DRColorado Springs, CO 80910-1931
Mailing Address1259 Lake Plaza Dr Ste 270Colorado Springs, CO 80906-3560
Phone(719) 653-7776
Organization SubpartYes
Authorized OfficialJacquita Louise JordanOwner · (719) 358-7338
Enumeration DateFebruary 9, 2024
NPPES CertifiedFebruary 9, 2024
✔ NPI 1043074024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedCounselorTaxonomy 101Y00000X
1520 VERDE DR, Colorado Springs, CO 80910
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Other Names 1

Doing Business AsFamily Success Center Behavioral Health

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BUNDUKAMARA INC
Nurse Practitioner (Psychiatric/Mental Health)
1520 VERDE DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 493-9555
FOUNTAIN VALLEY HEALTH CARE LLC
Clinic/Center (Primary Care)
1520 VERDE DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 653-7776

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fountain Valley Health Care LLC's NPI number?

The NPI number for Fountain Valley Health Care LLC is 1043074024. It was assigned to this organization in the NPPES registry on February 9, 2024. The provider is doing business as Family Success Center Behavioral Health.

Where is Fountain Valley Health Care LLC located?

Fountain Valley Health Care LLC is located at 1520 Verde Dr, Colorado Springs, CO 80910. The listed phone number is (719) 653-7776.

What is Fountain Valley Health Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Fountain Valley Health Care LLC was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.