FOUNTAIN SUPPORT SERVICES
NPI 1780868067
Community/Behavioral Health in Pensacola, FL

Active since December 22, 2007
7957 PERTH AVE, PENSACOLA, FL 32534(850) 477-3171 Get Directions Write a Review

NPPES record last updated: December 22, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community/Behavioral Health

About FOUNTAIN SUPPORT SERVICES

This page provides the complete NPI Profile along with additional information for Fountain Support Services, a provider established in Pensacola, Florida operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1780868067 assigned on December 2007. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Ordieres Fountain (Director)

NPI
1780868067 Verify this NPI
Provider Name
FOUNTAIN SUPPORT SERVICES
Entity Type
Organization
Location Address
7957 PERTH AVE PENSACOLA, FL 32534
Location Phone
(850) 477-3171
Mailing Address
7957 PERTH AVE PENSACOLA, FL 32534
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-22-2007
Last Update Date
12-22-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251C00000XAgencies

Day Training, Developmentally Disabled Services

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ORDIERES FOUNTAIN

Authorized Official Title
DIRECTOR
Authorized Official Phone
(850) 477-3171

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780868067, enumerated as an "organization" on December 22, 2007.

The provider is located at 7957 PERTH AVE PENSACOLA, FL 32534 and the phone number is (850) 477-3171.

Community/Behavioral Health with taxonomy code 251S00000X.