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BLUE FOUNTAIN HOME CARE, LLC
NPI 1073910840
Assisted Living Facility in Palm Bay, FL

Active since November 21, 2014
2440 EMERSON DR SE, PALM BAY, FL 32909(321) 327-8762(321) 914-4069 Get Directions Write a Review

NPPES record last updated: November 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blue Fountain Home Care, Llc NPPES

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

BLUE FOUNTAIN HOME CARE, LLC (NPI 1073910840) is a healthcare organization registered as an assisted living facility in Palm Bay, Florida and active in the NPI registry since November 2014. The organization lists Magdad Delinois, Administrator/owner, as its authorized official.

NPPES Registry Identity

NPI1073910840
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBLUE FOUNTAIN HOME CARE, LLC
Location Address2440 EMERSON DR SEPalm Bay, FL 32909-4972
Mailing Address2440 Emerson Dr SePalm Bay, FL 32909-4972 · (321) 327-8762 · Fax (321) 914-4069
Phone(321) 327-8762
Fax(321) 914-4069
Organization SubpartNo
Authorized OfficialMagdad DelinoisAdministrator/owner · (954) 559-3265
Enumeration DateNovember 21, 2014
✔ NPI 1073910840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in FL · AL11411
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.
2440 EMERSON DR SE, Palm Bay, FL 32909
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Other Providers at the Same Location NPPES

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

MRS. CORALIE PRINCE RN
Lodging
2440 EMERSON DR SE
PALM BAY, FL 32909
Brevard County (321) 299-7687

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 Blue Fountain Home Care, LLC's NPI number?

The NPI number for Blue Fountain Home Care, LLC is 1073910840. It was assigned to this organization in the NPPES registry on November 21, 2014.

Where is Blue Fountain Home Care, LLC located?

Blue Fountain Home Care, LLC is located at 2440 Emerson Dr SE, Palm Bay, FL 32909. The listed phone number is (321) 327-8762.

What is Blue Fountain Home Care, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Blue Fountain Home Care, LLC was last updated on November 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.