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THE FOUNTAINS OF WEST COUNTY
NPI 1699131573
Clinic/Center in Ellisville, MO

Active since January 08, 2016
15822 CLAYTON RD, ELLISVILLE, MO 63011(636) 220-1681(314) 200-4636 Get Directions Write a Review

NPPES record last updated: January 8, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Fountains Of West County NPPES

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

THE FOUNTAINS OF WEST COUNTY (NPI 1699131573) is a healthcare organization registered as a clinic/center in Ellisville, Missouri and active in the NPI registry since January 2016. The organization lists Kelly Ann Fiala, Ot/rehab Director, as its authorized official.

NPPES Registry Identity

NPI1699131573
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLEGACY HEALTHCARE SERVICES
Location Address15822 CLAYTON RDEllisville, MO 63011-2212
Mailing Address15822 Clayton RdEllisville, MO 63011-2212 · (636) 220-1681 · Fax (314) 200-4636
Phone(636) 220-1681
Fax(314) 200-4636
Organization SubpartNo
Authorized OfficialKelly Ann FialaOt/rehab Director · (636) 448-2881
Enumeration DateJanuary 8, 2016
✔ NPI 1699131573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in MO · 2005028265
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).
15822 CLAYTON RD, Ellisville, MO 63011
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Other Names 1

Other NameThe Fountains Of West County

Other Identifiers 1

Medicare NSC2005028265

Other Providers at the Same Location NPPES 3

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

SUSAN DIANE TRIMBLE LPTA
Physical Therapy Assistant
15822 CLAYTON RD
ELLISVILLE, MO 63011
St. Louis County (636) 220-1681
ROBERTA ROSE COTA/L
Occupational Therapy Assistant
15822 CLAYTON RD
ELLISVILLE, MO 63011
St. Louis County (636) 220-1681
TONYA WILSON PTA
Physical Therapy Assistant
15822 CLAYTON RD
ELLISVILLE, MO 63011
St. Louis County (636) 220-1681

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 Legacy Healthcare Services's NPI number?

The NPI number for Legacy Healthcare Services is 1699131573. It was assigned to this organization in the NPPES registry on January 8, 2016. The provider is also known as The Fountains Of West County.

Where is Legacy Healthcare Services located?

Legacy Healthcare Services is located at 15822 Clayton Rd, Ellisville, MO 63011. The listed phone number is (636) 220-1681.

What is Legacy Healthcare Services'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 Legacy Healthcare Services was last updated on January 8, 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.