FOUNTAIN HOME HEALTH LLC
NPI 1356009013
Clinic/Center in Blaine, MN

Q: What is Fountain Home Health LLC's NPI number?

The NPI number for Fountain Home Health LLC is 1356009013. It was assigned to this organization in the NPPES registry on November 30, 2021.

Q: What is Fountain Home Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since November 30, 2021

11137 FILLMORE ST NE, BLAINE, MN 55434(651) 235-6942 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, Nov 30, 2021 (2 updates tracked since 2021).

On this page

About Fountain Home Health Llc NPPES

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

FOUNTAIN HOME HEALTH LLC (NPI 1356009013) is a healthcare organization registered as a clinic/center in Blaine, Minnesota and active in the NPI registry since November 2021. The organization lists Boniface Mwangi, Owner, as its authorized official.

NPPES Registry Identity

NPI1356009013

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameFOUNTAIN HOME HEALTH LLC

Location Address11137 FILLMORE ST NEBlaine, MN 55434-4524

Mailing Address11137 Fillmore St NeBlaine, MN 55434-4524

Phone(651) 235-6942

Organization SubpartNo

Authorized OfficialBoniface MwangiOwner · (651) 235-6942

Enumeration DateNovember 30, 2021

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

NPPES CertifiedMarch 7, 2023

✔ NPI 1356009013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

11137 FILLMORE ST NE, Blaine, MN 55434

Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

MR. BONIFACE MWANGI

Registered Nurse (Home Health)

11137 FILLMORE ST NE
BLAINE, MN 55434

Anoka County (165) 123-5694

JOYCE WANGUI KIMEMIA REGISTERED NURSE

Registered Nurse (Gerontology)

11137 FILLMORE ST NE
BLAINE, MN 55434

Anoka County (651) 278-5406

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 Home Health LLC's NPI number?

The NPI number for Fountain Home Health LLC is 1356009013. It was assigned to this organization in the NPPES registry on November 30, 2021.

Where is Fountain Home Health LLC located?

Fountain Home Health LLC is located at 11137 Fillmore St NE, Blaine, MN 55434. The listed phone number is (651) 235-6942.

What is Fountain Home Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Fountain Home Health LLC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.