FOUNTAIN GATE HEALTH LLC
NPI 1407491475
Assisted Living Facility in Coon Rapids, MN

Active since November 13, 2019
10714 ILEX ST NW, COON RAPIDS, MN 55448(763) 516-8304 Get Directions Write a Review

NPPES record last updated: November 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fountain Gate Health Llc NPPES

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

FOUNTAIN GATE HEALTH LLC (NPI 1407491475) is a healthcare organization registered as an assisted living facility in Coon Rapids, Minnesota and active in the NPI registry since November 2019. The organization lists Evelyn Mccarthy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407491475
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFOUNTAIN GATE HEALTH LLC
Location Address10714 ILEX ST NWCoon Rapids, MN 55448-4941
Mailing Address10714 Ilex St NwCoon Rapids, MN 55448-4941 · (763) 516-8304
Organization SubpartNo
Authorized OfficialEvelyn MccarthyCeo · (763) 516-8304
Enumeration DateNovember 13, 2019
NPI 1407491475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Also ListedHome HealthTaxonomy 251E00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
10714 ILEX ST NW, Coon Rapids, MN 55448

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 Gate Health LLC's NPI number?

The NPI number for Fountain Gate Health LLC is 1407491475. It was assigned to this organization in the NPPES registry on November 13, 2019.

Where is Fountain Gate Health LLC located?

Fountain Gate Health LLC is located at 10714 Ilex St NW, Coon Rapids, MN 55448. The listed phone number is (763) 516-8304.

What is Fountain Gate Health LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Fountain Gate Health LLC was last updated on November 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.