FOUNTAIN MANOR HEALTH & REHABILITATION CENTER
NPI 1366960254
Skilled Nursing Facility in North Miami, FL
About Fountain Manor Health & Rehabilitation Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FOUNTAIN MANOR HEALTH & REHABILITATION CENTER (NPI 1366960254) is a healthcare organization registered as a skilled nursing facility in North Miami, Florida and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through December 22, 2026 and lists Cameron Marsh, Corporate Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2089235
Fountain Manor Health And Rehab Center · North Miami, FLOther Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NORTH MIAMI, FL 33161
NORTH MIAMI, FL 33161
NORTH MIAMI, FL 33161
NORTH MIAMI, FL 33161
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 Manor Opco LLC's NPI number?
The NPI number for Fountain Manor Opco LLC is 1366960254. It was assigned to this organization in the NPPES registry on August 31, 2017. The provider is doing business as Fountain Manor Health & Rehabilitation Center.
Where is Fountain Manor Opco LLC located?
Fountain Manor Opco LLC is located at 390 NE 135th St, North Miami, FL 33161. The listed phone number is (305) 895-4804.
What is Fountain Manor Opco LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Fountain Manor Opco LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2089235) is associated with this NPI, valid through December 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Fountain Manor Opco LLC was last updated on August 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.