FOUNTAIN ADULT HOME CARE, LLC
NPI 1295191450
Custodial Care Facility - Adult Care Home in Tarboro, NC

Q: What is Fountain Adult Home Care, LLC's NPI number?

The NPI number for Fountain Adult Home Care, LLC is 1295191450. It was assigned to this organization in the NPPES registry on January 4, 2016.

Q: What is Fountain Adult Home Care, LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since January 04, 2016

303 WILLIAM WALSTON LANE, TARBORO, NC 27886(252) 641-4388(252) 641-6412 Get Directions Write a Review

NPPES record last updated: May 10, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Fountain Adult Home Care, Llc NPPES

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

FOUNTAIN ADULT HOME CARE, LLC (NPI 1295191450) is a healthcare organization registered as an adult care home in Tarboro, North Carolina and active in the NPI registry since January 2016. The organization lists Shirley Walston Mcneil, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1295191450

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameFOUNTAIN ADULT HOME CARE, LLC

Location Address303 WILLIAM WALSTON LANETarboro, NC 27886

Mailing Address303 William Walston LaneTarboro, NC 27886-8587 · (252) 641-4388 · Fax (252) 641-6412

Phone(252) 641-4388

Fax(252) 641-6412

Organization SubpartNo

Authorized OfficialShirley Walston McneilOwner/administrator · (252) 641-4388

Enumeration DateJanuary 4, 2016

Last NPPES UpdateMay 10, 2016

✔ NPI 1295191450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

License✔ Licensed in NC · FCL033012

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

303 WILLIAM WALSTON LANE, Tarboro, NC 27886

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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 Adult Home Care, LLC's NPI number?

The NPI number for Fountain Adult Home Care, LLC is 1295191450. It was assigned to this organization in the NPPES registry on January 4, 2016.

Where is Fountain Adult Home Care, LLC located?

Fountain Adult Home Care, LLC is located at 303 William Walston Lane, Tarboro, NC 27886. The listed phone number is (252) 641-4388.

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

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Fountain Adult Home Care, LLC was last updated on May 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.