CADE FOUNTAIN
NPI 1144014028
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 07, 2025PECOS Enrolled
4160 JOHN R ST STE 1017, DETROIT, MI 48201(313) 745-4123 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cade Fountain NPPES

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

CADE FOUNTAIN (NPI 1144014028) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144014028
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCADE FOUNTAIN
Location Address4160 JOHN R ST STE 1017Detroit, MI 48201-2017
Mailing Address4160 John R St Ste 1017Detroit, MI 48201-2017 · (313) 745-4123
Sole ProprietorNo
Enumeration DateApril 7, 2025
NPPES CertifiedApril 7, 2025
NPI 1144014028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4160 JOHN R ST STE 1017, Detroit, MI 48201

Medicare Participation & PECOS Enrollment Status

Cade Fountain is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 1017
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 1017
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 1017
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 1017
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 1017
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 1017
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 1017
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 1017
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 1017
DETROIT, MI 48201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144014028, enumerated as an "individual" on April 07, 2025.

The provider is located at 4160 JOHN R ST STE 1017 DETROIT, MI 48201 and the phone number is (313) 745-4123.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.