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AZELY FOUNTAIN
NPI 1912738774
Homemaker in Valdosta, GA

Active since August 12, 2024
520 BROOKDALE DR, VALDOSTA, GA 31601(229) 561-8986 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Azely Fountain NPPES

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

AZELY FOUNTAIN (NPI 1912738774) is an individual homemaker provider in Valdosta, Georgia and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1912738774
Entity TypeIndividualFemale
Primary Taxonomy376J00000X
Provider Legal NameAZELY FOUNTAIN
Location Address520 BROOKDALE DRValdosta, GA 31601-3609
Mailing Address520 Brookdale DrValdosta, GA 31601-3609 · (229) 561-8986
Phone(229) 561-8986
Sole ProprietorNo
Enumeration DateAugust 12, 2024
NPPES CertifiedAugust 12, 2024
✔ NPI 1912738774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHomemakerNursing Service Related Providers
Taxonomy Code376J00000X
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
Also ListedHome Health AideTaxonomy 374U00000X
520 BROOKDALE DR, Valdosta, GA 31601
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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 Azely Fountain's NPI number?

The NPI number for Azely Fountain is 1912738774. It was assigned to this individual provider in the NPPES registry on August 12, 2024.

Where is Azely Fountain located?

Azely Fountain practices at 520 Brookdale Dr, Valdosta, GA 31601. The listed phone number is (229) 561-8986.

What is Azely Fountain's specialty?

The primary specialty registered for this NPI is Homemaker with taxonomy code 376J00000X.

When was this NPI record last updated?

The NPPES record for Azely Fountain was last updated on August 12, 2024. 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.