MEDICARE: FOUNDATIONS, 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	261QC1500X	Community Health Clinic/Center

General Provider Information

NPI Number	:	1750219473
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOUNDATIONS, INC.

Provider Business Mailing Address
First Line	:	2414 ACADIANA LN
Second Line	:
City	:	SEABROOK
State	:	TX
Zip	:	77586-8309
Country	:	US
Telephone Number	:	801-473-3963
Fax Number	:	866-252-7022

Provider Business Practice Location Address
First Line	:	6274 PILGRIMAGE RD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80925-1381
Country	:	US
Telephone Number	:	801-473-3963
Fax Number	:	866-252-7022

Authorized Official
Title or Position	:	CFO
Name	:	ANGELA SCHULZ
Credential	:
Telephone Number	:	801-473-3963

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

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