FOUNTAIN VALLEY HOME
NPI 1255636841
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Fountain Valley, CA
About Fountain Valley Home NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FOUNTAIN VALLEY HOME (NPI 1255636841) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Fountain Valley, California and active in the NPI registry since January 2011. The organization lists Mark R Fawcett, Treasurer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Dialysis Facility Quality Ratings CMS Care Compare
Quality ratings, services and patient survey results for FMC-RAI-Fountain Valley Home (CMS certification number 552693), from CMS Care Compare.
FMC-RAI-Fountain Valley Home
Dialysis facility · Fountain Valley, CAOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FOUNTAIN VALLEY, CA 92708
FOUNTAIN VALLEY, CA 92708
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 RAI Care Centers Of Southern California I LLC's NPI number?
The NPI number for RAI Care Centers Of Southern California I LLC is 1255636841. It was assigned to this organization in the NPPES registry on January 13, 2011. The provider is doing business as Fountain Valley Home.
Where is RAI Care Centers Of Southern California I LLC located?
RAI Care Centers Of Southern California I LLC is located at 17197 Newhope St Suite E, Fountain Valley, CA 92708. The listed phone number is (714) 751-1064.
What is RAI Care Centers Of Southern California I LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.
Is RAI Care Centers Of Southern California I LLC a Medicare-certified dialysis facility?
Yes. FMC-RAI-Fountain Valley Home is a Medicare-certified dialysis facility, certified since November 28, 2011.
When was this NPI record last updated?
The NPPES record for RAI Care Centers Of Southern California I LLC was last updated on September 26, 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.
# Fountain Valley Home · NPI 1255636841
End-Stage Renal Disease (ESRD) Treatment organization in Fountain Valley, California. Organization record, active in the CMS NPPES registry since January 13, 2011.
## Identity
- **NPI:** 1255636841 (Entity type: Organization)
- **Enumerated:** January 13, 2011
- **Primary specialty:** Clinic/Center - End-Stage Renal Disease (ESRD) Treatment · taxonomy 261QE0700X
- **Legal business name:** Rai Care Centers Of Southern California I Llc
- **Organization subpart:** Yes (part of Fresenius Medical Care Holdings, Inc.)
- **Authorized official:** Mark Fawcett, TREASURER
## Practice location
- **Address:** 17197 NEWHOPE ST, SUITE E, Fountain Valley, CA 92708-4228
- **Phone:** (714) 751-1064 · **Fax:** (714) 751-1098
## Record status
- **NPPES last updated:** September 26, 2012
- **Other identifiers:** Medicare OSCAR/certification 552693 (CA); Medicaid 1255635841 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1255636841) · Data from the CMS NPPES public registry.