| Organization Name: | FOUNTAIN COMMUNITY HEALTHCARE SERVICES |
| NPI Number: | 1750738506 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHEN KOFI KPONYOH (CEO) |
| Mailing Address: | 1232 Paris Pike Georgetown |
| State: | KY US |
| Postal Code: | 403249701 |
| Phone Number: | 5025420964 |
| Fax Number: | 5028689152 |
| NPI Enumeration Date: | 05/23/2016 |
| NPI Last Update Date: | 05/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |