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FOUNTAIN OF YOUTH, INC
NPI 1225202179
Voluntary or Charitable in Fort Smith, AR

Active since April 22, 2008
2409 S 56TH ST, SUITE 121, FORT SMITH, AR 72903(479) 484-7782(479) 484-7951 Get Directions Write a Review

NPPES record last updated: September 5, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fountain Of Youth, Inc NPPES

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

FOUNTAIN OF YOUTH, INC (NPI 1225202179) is a healthcare organization registered as a voluntary or charitable in Fort Smith, Arkansas and active in the NPI registry since April 2008. The organization lists Michelle Foutch, Site Director, as its authorized official.

NPPES Registry Identity

NPI1225202179
Entity TypeOrganization
Primary Taxonomy251V00000X
Legal Business NameFOUNTAIN OF YOUTH, INC
Location Address2409 S 56TH ST, SUITE 121Fort Smith, AR 72903-3753
Mailing Address2409 S 56th St, Suite 121Fort Smith, AR 72903-3753 · (479) 484-7782 · Fax (479) 484-7951
Phone(479) 484-7782
Fax(479) 484-7951
Organization SubpartNo
Authorized OfficialMichelle FoutchSite Director · (479) 484-7782
Enumeration DateApril 22, 2008
Last NPPES UpdateSeptember 5, 2012
✔ NPI 1225202179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyVoluntary or CharitableAgencies
Taxonomy Code251V00000X
License✔ Licensed in AR · 105
2409 S 56TH ST, Fort Smith, AR 72903
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Other Identifiers 1

Medicaid165464755AR

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, Inc's NPI number?

The NPI number for Fountain Of Youth, Inc is 1225202179. It was assigned to this organization in the NPPES registry on April 22, 2008.

Where is Fountain Of Youth, Inc located?

Fountain Of Youth, Inc is located at 2409 S 56th St Suite 121, Fort Smith, AR 72903. The listed phone number is (479) 484-7782.

What is Fountain Of Youth, Inc's specialty?

The primary specialty registered for this NPI is Voluntary or Charitable with taxonomy code 251V00000X.

When was this NPI record last updated?

The NPPES record for Fountain Of Youth, Inc was last updated on September 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.