FOUNTAIN OF YOUTH
NPI 1144630963
Clinic/Center - Adult Day Care in Staten Island, NY

Active since May 01, 2014
26 DUMONT AVE, STATEN ISLAND, NY 10305(718) 667-8510(718) 667-8884 Get Directions Write a Review

NPPES record last updated: May 1, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fountain Of Youth NPPES

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

FOUNTAIN OF YOUTH (NPI 1144630963) is a healthcare organization registered as an adult day care in Staten Island, New York and active in the NPI registry since May 2014. The organization lists Brent Alexander, President, as its authorized official.

NPPES Registry Identity

NPI1144630963
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameFOUNTAIN OF YOUTH
Location Address26 DUMONT AVEStaten Island, NY 10305-1450
Mailing Address26 Dumont AveStaten Island, NY 10305-1450 · (718) 667-8510 · Fax (718) 667-8884
Fax(718) 667-8884
Organization SubpartNo
Authorized OfficialBrent AlexanderPresident · (718) 667-8521
Enumeration DateMay 1, 2014
NPI 1144630963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
26 DUMONT AVE, Staten Island, NY 10305

Other Providers at the Same Location NPPES 20

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

Home Health
26 DUMONT AVE
STATEN ISLAND, NY 10305
Licensed Practical Nurse
26 DUMONT AVE
STATEN ISLAND, NY 10305
Licensed Practical Nurse
26 DUMONT AVE
STATEN ISLAND, NY 10305
Licensed Practical Nurse
26 DUMONT AVE
STATEN ISLAND, NY 10305
Home Health
26 DUMONT AVE
STATEN ISLAND, NY 10305
Licensed Practical Nurse
26 DUMONT AVE
STATEN ISLAND, NY 10305
Registered Nurse (Home Health)
26 DUMONT AVE
STATEN ISLAND, NY 10305
Licensed Practical Nurse
26 DUMONT AVE
STATEN ISLAND, NY 10305

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 Of Youth's NPI number?

The NPI number for Fountain Of Youth is 1144630963. It was assigned to this organization in the NPPES registry on May 1, 2014.

Where is Fountain Of Youth located?

Fountain Of Youth is located at 26 Dumont Ave, Staten Island, NY 10305. The listed phone number is (718) 667-8510.

What is Fountain Of Youth's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

When was this NPI record last updated?

The NPPES record for Fountain Of Youth was last updated on May 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.