MEDICARE: FOUNTAINS HOME HEALTHCARE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	009024	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639264500
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOUNTAINS HOME HEALTHCARE, INC

Provider Business Mailing Address
First Line	:	2974 LBJ FRWY
Second Line	:	SUITE 495
City	:	DALLAS
State	:	TX
Zip	:	75234
Country	:	US
Telephone Number	:	469-310-0538
Fax Number	:	469-310-0539

Provider Business Practice Location Address
First Line	:	2974 LBJ FRWY
Second Line	:	SUITE 495
City	:	DALLAS
State	:	TX
Zip	:	75234
Country	:	US
Telephone Number	:	469-310-0538
Fax Number	:	469-310-0539

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	STEPHANIE R. DOUGLAS
Credential	:
Telephone Number	:	469-310-0538

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	02/26/2014

Similar Medicare Providers

1770216996 — DR. SANGYOON JEE DMD
Practice Location Address:

11834 HARRY HINES BLVD STE 109
DALLAS, TX
75234-5906

Practice Phone: 469-915-3330
Practice Fax:

1588507412 — DONOVAN SHAWNDRICK NEAL
Practice Location Address:

3423 FOREST LN APT 228
DALLAS, TX
75234-7751

Practice Phone: 903-556-9398
Practice Fax:

1568986933 — DR. SAUMYA SEHGAL DDS
Practice Location Address:

3030 LBJ FWY STE 1400
DALLAS, TX
75234-2766

Practice Phone: 972-444-8888
Practice Fax:

1639998420 — NAJAH SYED PMHNP
Practice Location Address:

1507 LYNDON B JOHNSON FWY STE 750
DALLAS, TX
75234-6088

Practice Phone: 817-527-8621
Practice Fax: 972-930-1592

1679415715 — DR. SONIA KELLEY OD, MS
Practice Location Address:

13555 N STEMMONS FWY
DALLAS, TX
75234-5765

Practice Phone: 214-496-4000
Practice Fax:

1639172208 — KATHY A TOLER MD
Practice Location Address:

10 MEDICAL PKWY # 3 , STE 201
DALLAS, TX
75234-7840

Practice Phone: 972-488-8441
Practice Fax: 972-488-8489

1770586059 — DR. CHARLES CALVIN NUNNALLY II D.D.S.
Practice Location Address:

3326 FOREST LN
DALLAS, TX
75234-7712

Practice Phone: 972-488-2123
Practice Fax: 972-243-3690

Directions to “FOUNTAINS HOME HEALTHCARE, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.