1. Home
  2. Directory
  3. Wisconsin
  4. Milwaukee
  5. Home Health
  6. NPI Profile

FOUNTAIN OF LIFE HOME HEALTHCARE
NPI 1528673738
Home Health in Milwaukee, WI

Active since September 14, 2020
11414 W PARK PL STE 202, MILWAUKEE, WI 53224(414) 716-6146(414) 509-1635 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Fountain Of Life Home Healthcare NPPES

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

FOUNTAIN OF LIFE HOME HEALTHCARE (NPI 1528673738) is a healthcare organization registered as a home health in Milwaukee, Wisconsin and active in the NPI registry since September 2020. The organization lists Gregory Stevenson, Owner, as its authorized official.

NPPES Registry Identity

NPI1528673738
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameFOUNTAIN OF LIFE HOME HEALTHCARE
Location Address11414 W PARK PL STE 202Milwaukee, WI 53224-3500
Mailing Address11414 W Park Pl Ste 202Milwaukee, WI 53224-3500 · (414) 716-6146 · Fax (414) 509-1635
Phone(414) 716-6146
Fax(414) 509-1635
Organization SubpartNo
Authorized OfficialGregory StevensonOwner · (414) 716-6146
Enumeration DateSeptember 14, 2020
NPPES CertifiedSeptember 14, 2020
✔ NPI 1528673738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
11414 W PARK PL STE 202, Milwaukee, WI 53224
Open in Google Maps ↗

Other Identifiers 1

Medicaid100102050WI

Other Providers at the Same Location NPPES 20

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

PERRY HENNESSY APNP
Nurse Practitioner (Psychiatric/Mental Health)
11414 W PARK PL STE 202
MILWAUKEE, WI 53224
Milwaukee County (877) 906-9699
PRESS RESET LLC
Counselor (Professional)
11414 W PARK PL STE 202
MILWAUKEE, WI 53224
Milwaukee County (414) 533-7578
DIANA BASLER HIS
Hearing Instrument Specialist
11414 W PARK PL STE 202
MILWAUKEE, WI 53224
Milwaukee County (920) 399-2081
WIC PRENATAL SERVICES LLC
Case Management
11414 W PARK PL STE 202
MILWAUKEE, WI 53224
Milwaukee County (414) 839-2691
BERGER AND BURROW ENTERPRISES, INC
Physiological Laboratory
11414 W PARK PL STE 202
MILWAUKEE, WI 53224
Milwaukee County (866) 483-9729
ABG WELLNESS GROUP INC
Community/Behavioral Health
11414 W PARK PL STE 202
MILWAUKEE, WI 53224
Milwaukee County (414) 292-7060
SENIORWELL OF WISCONSIN LLC
Dentist
11414 W PARK PL STE 202
MILWAUKEE, WI 53224
Milwaukee County (844) 882-3127
DYRESHA WHITESIDE REGISTERED NURSE
Registered Nurse (Home Health)
11414 W PARK PL STE 202
MILWAUKEE, WI 53224
Milwaukee County (414) 716-6257

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 Of Life Home Healthcare's NPI number?

The NPI number for Fountain Of Life Home Healthcare is 1528673738. It was assigned to this organization in the NPPES registry on September 14, 2020.

Where is Fountain Of Life Home Healthcare located?

Fountain Of Life Home Healthcare is located at 11414 W Park Pl Ste 202, Milwaukee, WI 53224. The listed phone number is (414) 716-6146.

What is Fountain Of Life Home Healthcare's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Fountain Of Life Home Healthcare was last updated on September 14, 2020. 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.