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FOUNTAIN VALLEY HEALTH CARE LLC
NPI 1851170856
Clinic/Center - Primary Care in Colorado Springs, CO

Active since September 27, 2023
1520 VERDE DR, COLORADO SPRINGS, CO 80910(719) 653-7776 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fountain Valley Health Care Llc NPPES

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

FOUNTAIN VALLEY HEALTH CARE LLC (NPI 1851170856), doing business as Family Success Center, is a healthcare organization registered as a primary care in Colorado Springs, Colorado and active in the NPI registry since September 2023. The organization lists Jacquita Louise Jordan, Owner, as its authorized official.

NPPES Registry Identity

NPI1851170856
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFOUNTAIN VALLEY HEALTH CARE LLC
Location Address1520 VERDE DRColorado Springs, CO 80910-1931
Mailing Address1259 Lake Plaza Dr Ste 270Colorado Springs, CO 80906-3560
Phone(719) 653-7776
Organization SubpartYes
Authorized OfficialJacquita Louise JordanOwner · (719) 653-7776
Enumeration DateSeptember 27, 2023
NPPES CertifiedSeptember 27, 2023
✔ NPI 1851170856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1520 VERDE DR, Colorado Springs, CO 80910
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Other Names 1

Doing Business AsFamily Success Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

FOUNTAIN VALLEY HEALTH CARE LLC
Nurse Practitioner (Psychiatric/Mental Health)
1520 VERDE DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 653-7776
BUNDUKAMARA INC
Nurse Practitioner (Psychiatric/Mental Health)
1520 VERDE DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 493-9555

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 Valley Health Care LLC's NPI number?

The NPI number for Fountain Valley Health Care LLC is 1851170856. It was assigned to this organization in the NPPES registry on September 27, 2023. The provider is doing business as Family Success Center.

Where is Fountain Valley Health Care LLC located?

Fountain Valley Health Care LLC is located at 1520 Verde Dr, Colorado Springs, CO 80910. The listed phone number is (719) 653-7776.

What is Fountain Valley Health Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Fountain Valley Health Care LLC was last updated on September 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.